Bascharon, Randa Amin

Bascharon, Randa Amin is an sole proprietor health care provider with primary practice located at 7281 W Sahara Ave Ste 110 , Las Vegas NV 89117-2802. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Bascharon, Randa Amin can be contacted via phone (702) 947-7790.

Contact Information

Primary practice address
7281 W Sahara Ave Ste 110 Las Vegas NV 89117-2802
Phone: (702) 947-7790
Fax: (702) 947-7792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 1103 Nevada
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A8358 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 1103 Nevada
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 20A8358 California

Profile Details

NPI number 1205883642
LBN Legal business name Bascharon, Randa Amin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Jan 24th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205883642 NPPES
Nevada MEDICAID 100503044
Nevada Other XTE006922

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