GEORGE DALSUKE MOMII


Address: 6925 N. Durango Drive, Las Vegas, NV 89149
Phone: 7027326000

GEORGE DALSUKE MOMII (NPI# 1215937974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215937974
Entity Type Individual
Full Name GEORGE DALSUKE MOMII
Credential M.D.
Practice Address 6925 N. Durango Drive
Las Vegas
NV 89149
Mailing Address Po Box 36900
Las Vegas
NV 89133-6900
Practice Telephone 7027326000
Practice Fax Number 7022437531
Mailing Telephone 7027326000
Mailing Fax Number 7022437531
Enumeration Date 2005-07-26
Last Update Date 2013-08-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
6447 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 200262804 05

Office Location

Street Address 6925 N. DURANGO DRIVE
City LAS VEGAS
State NV
Zip Code 89149

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

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1346860624 Smi Imaging LLC Radiology 7455 W Washington Ave Ste 120, Las Vegas, NV 89128-4338 2020-04-16
1548807274 Smi Imaging LLC Radiology 3560 W Flamingo Rd, Ste 100, Las Vegas, NV 89121-5088 2019-12-02
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1740826627 Smi Imaging LLC Radiology 3061 S Maryland Pkwy Ste 102, Las Vegas, NV 89109-6226 2019-11-26
1366000622 6radiology Radiology 11266 Parleys Cone Ct, Las Vegas, NV 89135-1839 2019-06-03
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1174997407 Sutter Valley Medical Foundation Radiology 2995 American River Ln, Las Vegas, NV 89135-1713 2015-11-24
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Competitor

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City LAS VEGAS
Zip Code 89149

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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