MEDICARE: NATHU COMPASSIONATE CARE CHTD

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	261QX0203X	Radiation Oncology Clinic/Center	257773	NV

General Provider Information

NPI Number	:	1770539371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATHU COMPASSIONATE CARE CHTD

Provider Business Mailing Address
First Line	:	4770 ARMADA RIDGE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-3683
Country	:	US
Telephone Number	:	702-604-7156
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3151
Country	:	US
Telephone Number	:	702-604-7156
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. RAKESH MAGAN NATHU
Credential	:	M.D.
Telephone Number	:	702-604-7156

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

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