MEDICARE: DR. PRAVEEN SARAN M.D., MPH

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	207R00000X	Internal Medicine Physician	9683	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407077803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRAVEEN SARAN M.D., MPH

Provider Business Mailing Address
First Line	:	7529 BELGIAN LION ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5302
Country	:	US
Telephone Number	:	702-633-6006
Fax Number	:	702-633-9110

Provider Business Practice Location Address
First Line	:	7010 SMOKE RANCH RD
Second Line	:	STE. 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3123
Country	:	US
Telephone Number	:	702-633-6006
Fax Number	:	702-633-9110

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/23/2009

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