Ushsnv, LLC
Family Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1164199378
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1164199378
- Entity type
- Organization (NPI-2)
- Legal business name
- Ushsnv, LLC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2021
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
777 N Rainbow Blvd Ste 350Las Vegas, NV 89107-1188
Phone 480-494-2465 · Fax 480-534-4087
Mailing address
161 E Rivulon Blvd Ste 210Gilbert, AZ 85297-0087
Phone 480-494-2465 · Fax 480-534-4087
Authorized official
Kelly Karaniuk
Credentialing Director
4804942465
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