Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 12807 | NV |
N | 2080P0210X | Pediatric Nephrologist | A85660 | CA |
NPI | 1295999514 |
---|---|
Provider Name | Hay Cheam |
First Address | Las Vegas, NV 89117-2371 |
Second Address | Las Vegas, NV 89117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2008 |
Last Update Date | 16/07/2008 |