Academic Cardiovascular & Thoracic Surgery
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Las Vegas, NV. Organization (NPI-2).
NPI number1477201200
StatusActive
Last updated in NPPESMay 15, 2022
Details
- NPI
- 1477201200
- Entity type
- Organization (NPI-2)
- Legal business name
- Academic Cardiovascular & Thoracic Surgery
- Organization subpart
- No
- Enumeration date
- Mar 10, 2022
- Certification date
- May 15, 2022
- Last updated
- May 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | Yes |
| 208600000X | Surgery | – | – | |
| 2086S0102X | Surgery, Surgical Critical Care | – | – | |
| 2086S0127X | Surgery, Trauma Surgery | – | – | |
| 2086S0129X | – | – |
Practice location
4445 S Eastern AveLas Vegas, NV 89119-7851
Phone 702-850-6850 · Fax 855-644-2960
Mailing address
2736 Kildrummie StHenderson, NV 89044-0235
Phone 702-902-0885
Authorized official
Ashraf I. Osman
President & Ceo
7029020885
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