Provider Demographics
NPI:1295904027
Name:AARON A ADAOAG MD LTD
Entity type:Organization
Organization Name:AARON A ADAOAG MD LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADAOAG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-202-6336
Mailing Address - Street 1:9816 GILESPIE ST
Mailing Address - Street 2:SUITE 550
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7602
Mailing Address - Country:US
Mailing Address - Phone:702-202-6336
Mailing Address - Fax:702-202-6318
Practice Address - Street 1:9816 GILESPIE ST
Practice Address - Street 2:SUITE 550
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7602
Practice Address - Country:US
Practice Address - Phone:702-202-6336
Practice Address - Fax:702-202-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11256207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508146Medicaid
NV100508146Medicaid
NVI19071Medicare UPIN