VASANA CHEANVECHAI MD LTD NPI 1467651331

NPI Information

NPI: 1467651331
Provider Name: VASANA CHEANVECHAI MD LTD
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
501 S RANCHO DR
SUITE F 38
LAS VEGAS, NV
ZIP 89106
Phone: (702) 258-1173
Get Directions

VASANA CHEANVECHAI MD LTD is a vascular surgery surgery in Las Vegas, NV. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASANA CHEANVECHAI MD LTD NPI is 1467651331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 S RANCHO DR
SUITE F 38
LAS VEGAS, NV
ZIP 89106-828
Phone: (702) 258-1173
Fax: (702) 258-1293

The provider's authorized official is Vasana Cheanvechai .
The authorized official title is President and has the following contact phone number (702) 258-1173.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 4/9/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	11662	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CC1844	OTHER	NEVADA	ANTHEM BX BS
2	100508393	MEDICAID	NEVADA	MEDICAID GROUP NUMBER
3	H54607	MEDICARE UPIN	NEVADA
4	101864	OTHER	NEVADA	MEDICARE ID TYPE

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

NPI Synchronization or Removal

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