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RANDA BASCHARON DO INC NPI 1386966976


NPI Information

NPI: 1386966976
Provider Name: RANDA BASCHARON, DO, INC

Doing Business As: ORTHOPEDIC & SPORTS MEDICINE INSTITUTE OF LAS VEGAS

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
7281 W SAHARA AVE
STE 110
LAS VEGAS, NV
ZIP 89117
Phone: (702) 947-7790
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RANDA BASCHARON, DO, INC is a non pharmacy dispensing site in Las Vegas, NV. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) RANDA BASCHARON, DO, INC NPI is 1386966976. The provider is registered as an organization entity type.
The provider Is Doing Business As Orthopedic & Sports Medicine Institute Of Las Vegas.

The provider's business location address is:

7281 W SAHARA AVE
STE 110
LAS VEGAS, NV
ZIP 89117-816
Phone: (702) 947-7790

The provider's authorized official is Randa Bascharon .
The authorized official title is Medical Director and has the following contact phone number (702) 947-7790.

The enumeration date for this NPI number is 2/23/2010 and was last updated on 3/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site1103NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H87776MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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