DIGESTIVE DISEASE CENTER-GREEN VALLEY NPI 1679706790

NPI Information

NPI: 1679706790
Provider Name: DIGESTIVE DISEASE CENTER-GREEN VALLEY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1647 WINDMILL LANE
SUITE 110
LAS VEGAS, NV
ZIP 89123
Phone: (702) 628-5830
Get Directions

DIGESTIVE DISEASE CENTER-GREEN VALLEY is an ambulatory surgical clinic center in Las Vegas, NV. DIGESTIVE DISEASE CENTER-GREEN VALLEY NPI is 1679706790. The provider is registered as an organization entity type.

The provider's business location address is:

1647 WINDMILL LANE
SUITE 110
LAS VEGAS, NV
ZIP 89123
Phone: (702) 628-5830
Fax: (702) 270-8984

The provider's authorized official is Osama Omar Haikal .
The authorized official title is Medical Director and has the following contact phone number (702) 734-0505.

The enumeration date for this NPI number is 8/25/2009 and was last updated on 10/5/2015.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	2000772.650	NEVADA	Yes

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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