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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205883642 | NPPES |
Nevada | MEDICAID | 100503044 | |
Nevada | Other | XTE006922 |
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