Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 10046 | NV |
NPI | 1033192372 |
---|---|
Provider Name | Ruben J Acherman |
First Address | Las Vegas, NV 89109 |
Second Address | Las Vegas, NV 89109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 07/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002018644 | (05) | NV |
CC2802 | BLUE CROSS BLUE SHIELD (01) | |
F98745 | (02) | |
VWCLCQ | MEDICARE GROUP # (01) | NV |
XPY197044 | MEDI-CAL (01) |