Provider Demographics
NPI:1063525038
Name:AHLERING, PETER (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:AHLERING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5320 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1840
Mailing Address - Country:US
Mailing Address - Phone:702-794-0073
Mailing Address - Fax:702-696-0554
Practice Address - Street 1:555 N BALLAS RD
Practice Address - Street 2:#150
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-983-9062
Practice Address - Fax:314-983-9023
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2010-12-29
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Provider Licenses
StateLicense IDTaxonomies
MOR9J05207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE43798Medicare UPIN