Vergara, Gaston R
Vergara, Gaston R is an individual health care provider with primary practice located at 700 Shadow Ln Suite 240, Las Vegas NV 89106-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Vergara, Gaston R can be contacted via phone (702) 384-0022.Contact Information
Primary practice address
700 Shadow Ln Suite 240
Las Vegas NV 89106-4158
Phone: (702) 384-0022
Fax: (702) 384-0529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14055 | Nevada |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 14055 | Nevada |
Profile Details
| NPI number | 1447347208 |
|---|---|
| LBN Legal business name | Vergara, Gaston R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 26th, 2022 - 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 | 1447347208 | NPPES |
| Nevada | MEDICAID | 100523913 |
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