Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOLUE DAVID EZEANOLUE, MD

Deactivated

DR. DOLUE DAVID EZEANOLUE, MD is a Interventional Vascular Surgery healthcare provider located in LAS VEGAS, Nevada. NPI 1700883014 is deactivated in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · LAS VEGAS, NV

This NPI has been deactivated. The record was deactivated on March 20, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1700883014
Provider Type: Individual
Gender: Male
NPI Issued: Jun 30, 2005 (0.72054794520548 yrs)
Last Updated: Sep 12, 2017
Deactivated: Mar 20, 2006
Licenses: 8421 (NV)

8421 (NV)

8421 (NV)

8421 (NV)

Practice Information

Address: 1701 BEARDEN DR

SUITE 200

LAS VEGAS, NV, 891064189
Browse NV providers · Browse ZIP 89106
Phone: 7023109110
Fax: 7023109114
Primary Specialty: Interventional Vascular Surgery
208VP0014X
Additional Specialty: Physical Medicine & Rehabilitation
Additional Specialty: Vascular Surgery
Additional Specialty: Interventional Vascular Surgery

Other Interventional Vascular Surgery Providers in LAS VEGAS, NV

Name	Credential	NPI
CRISPINO S SANTOS	M.D.	1134128333
DR. BRIAN ANTHONY LEMPER	D.O.	1487656153
STEPHEN GEPHARDT	MD	1154307635
DR. DANIEL LEWIS BURKHEAD	MD LTD	1144298928
DR. ALAFURO TEKENA ORUENE	MD	1649230491
WALTER M KIDWELL	MD	1215977038

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.