MEDICARE: SOUTHERN NEVADA ALLERGY PHYSICIANS

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	207K00000X	Allergy & Immunology Physician

General Provider Information

NPI Number	:	1205882800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN NEVADA ALLERGY PHYSICIANS

Provider Business Mailing Address
First Line	:	3201 S MARYLAND PKWY
Second Line	:	STE 306
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2441
Country	:	US
Telephone Number	:	702-735-1400
Fax Number	:	702-735-9273

Provider Business Practice Location Address
First Line	:	3201 S MARYLAND PKWY
Second Line	:	STE 306
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2441
Country	:	US
Telephone Number	:	702-735-1400
Fax Number	:	702-735-9273

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MICHAEL ALAZARD
Credential	:
Telephone Number	:	702-735-1400

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1104113471 — CAROLINE NGUYEN M.D.
Practice Location Address:

3201 S MARYLAND PKWY , STE 608
LAS VEGAS, NV
89109-2441

Practice Phone: 702-457-5437
Practice Fax:

1275538126 — DR. NICOLE R. FLORA MD
Practice Location Address:

3201 S MARYLAND PKWY , SUITE 400
LAS VEGAS, NV
89109-2441

Practice Phone: 702-262-1130
Practice Fax: 702-262-1161

1669468021 — RONALD STEPHEN HOFFLANDER MD
Practice Location Address:

3201 S MARYLAND PKWY , SUITE 601
LAS VEGAS, NV
89109-2441

Practice Phone: 702-894-4440
Practice Fax: 702-894-9917

1457332538 — GEORGE S. GANESAN M.D.
Practice Location Address:

3201 S MARYLAND PKWY , SUITE 406
LAS VEGAS, NV
89109-2441

Practice Phone: 702-369-4999
Practice Fax: 702-369-2993

1861470890 — ANGELITA TAN-TORRES PA-C
Practice Location Address:

3201 S MARYLAND PKWY , #400
LAS VEGAS, NV
89109-2441

Practice Phone: 702-262-1130
Practice Fax: 702-262-1161

1962451047 — MICHAEL OMOREGIE AIGBE M.D.
Practice Location Address:

3201 S MARYLAND PKWY , SUITE 606
LAS VEGAS, NV
89109-2441

Practice Phone: 702-639-1700
Practice Fax: 702-639-1717

Directions to “SOUTHERN NEVADA ALLERGY PHYSICIANS ” 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 © 2007-2025 (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.