MEDICARE: SASUKE UCHIHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374K00000X	Religious Nonmedical Practitioner

General Provider Information

NPI Number	:	1134920663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASUKE UCHIHA

Provider Business Mailing Address
First Line	:	435 LOS FELIZ ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-4207
Country	:	US
Telephone Number	:	702-573-6762
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 LEWIS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5106
Country	:	US
Telephone Number	:	702-573-6762
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2025
Last Update Date	:	03/21/2025

Similar Medicare Providers

1295520716 — BEST NEVADA CLINIC LLC
Practice Location Address:

1800 LEWIS AVE
LAS VEGAS, NV
89101-5106

Practice Phone: 702-573-6762
Practice Fax:

1396103776 — ASHLIE RANDOLPH
Practice Location Address:

3053 W CRAIG RD , #192
NORTH LAS VEGAS, NV
89032-5106

Practice Phone: 702-461-1621
Practice Fax: 702-982-3103

1750034666 — CHARLOTTE JEAN BOSSERT
Practice Location Address:

5508 RED BLUFF DR
LAS VEGAS, NV
89130-5106

Practice Phone: 702-336-4536
Practice Fax:

1477409001 — MRS. MARIA ULLIO
Practice Location Address:

5106 N CHIEFTAIN ST
LAS VEGAS, NV
89149-2512

Practice Phone: 702-888-5888
Practice Fax:

1710829122 — J B SHARE A HOME, INC
Practice Location Address:

6165 DUNCAN DR
LAS VEGAS, NV
89108-5106

Practice Phone: 725-206-5553
Practice Fax: 725-206-5476

1629906987 — LAURA BJORK
Practice Location Address:

35 W OWENS AVE
NORTH LAS VEGAS, NV
89030-6865

Practice Phone: 702-245-4753
Practice Fax: 702-245-4753

Directions to “ SASUKE UCHIHA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.