Provider Demographics
NPI:1437137197
Name:KIRGAN, DANIEL M (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:KIRGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#250
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-5150
Mailing Address - Fax:702-384-6493
Practice Address - Street 1:1707 W CHARLESTON BLVD
Practice Address - Street 2:#160, PATIENT CARE CENTER
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2351
Practice Address - Country:US
Practice Address - Phone:702-671-5150
Practice Address - Fax:702-384-6493
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV71522086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCS07474OtherPHARMACY/CDS
NV002019361Medicaid
NVWQBHV03OtherMEDICARE PTAN
NVWQBHV03OtherMEDICARE PTAN
NVF34049Medicare UPIN