Gamnerdsiri, Suhattai
Gamnerdsiri, Suhattai is an sole proprietor health care provider with primary practice located at 2000 Pinto Ln Ste 200 , Las Vegas NV 89106-4066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gamnerdsiri, Suhattai can be contacted via phone (702) 367-9300.Contact Information
Primary practice address
2000 Pinto Ln Ste 200
Las Vegas NV 89106-4066
Phone: (702) 367-9300
Fax: (702) 367-9400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 9094 | Nevada |
Profile Details
| NPI number | 1073618138 |
|---|---|
| LBN Legal business name | Gamnerdsiri, Suhattai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Mar 29th, 2023 - about 2 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 | 1073618138 | NPPES |
| Nevada | Other | CC1182 | NV BLUE SHIELD |
| Nevada | MEDICAID | 002018154 | NV BLUE SHIELD |
| Nevada | Other | 110227405 | NV BLUE SHIELD |
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