Provider Demographics
NPI:1659324374
Name:INMAN, TODD FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:FRANKLIN
Last Name:INMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2345 E PRATER WAY STE 207
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-9634
Mailing Address - Country:US
Mailing Address - Phone:775-352-5353
Mailing Address - Fax:775-352-5354
Practice Address - Street 1:2345 E PRATER WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-9600
Practice Address - Country:US
Practice Address - Phone:775-352-5353
Practice Address - Fax:775-352-5354
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11938207Q00000X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11628589OtherCAQH
NV1659324374Medicaid
11628589OtherCAQH
11628589OtherCAQH