| Calvin Van Reken MD Ltd | |
|
55 Foothill Rd Ste 1 Reno NV 89511-5404 | |
| (775) 358-1717 | |
| Not Available |
| Full Name | Calvin Van Reken MD Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 Foothill Rd, Reno, Nevada |
| Authorized Official Name and Position | Calvin H Vanreken (PRESIDENT) |
| Authorized Official Contact | 7753581717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Van Reken MD Ltd 55 Foothill Rd Ste 1 Reno NV 89511-5404 Ph: (775) 358-1717 | Calvin Van Reken MD Ltd 55 Foothill Rd Ste 1 Reno NV 89511-5404 Ph: (775) 358-1717 |
| NPI Number | 1407908536 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 05/15/2015 |
| Medicare PECOS PAC ID | 1052576543 |
|---|---|
| Medicare Enrollment ID | O20120709000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407908536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Calvin Vanreken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710052394 PECOS PAC ID: 0042296113 Enrollment ID: I20040629000130 |
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