MEDICARE: SURGICAL WOUND CARE

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1558223586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL WOUND CARE

Provider Business Mailing Address
First Line	:	202 S ROYAL ASCOT DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4310
Country	:	US
Telephone Number	:	702-569-0965
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 S ROYAL ASCOT DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4310
Country	:	US
Telephone Number	:	702-569-0965
Fax Number	:

Authorized Official
Title or Position	:	SURGEON
Name	:	PANKAJ BHATNAGAR
Credential	:
Telephone Number	:	702-569-0965

Provider Enumeration Date	:	11/28/2025
Last Update Date	:	11/28/2025

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Directions to “SURGICAL WOUND CARE ” Practice Location

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