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NPI Code Detail

MEDICARE: ASHSHANA BLACK

MEDICARE: ASHSHANA BLACK
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1992656060
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHSHANA BLACK
Provider Business Mailing Address
First Line : 732 S 6TH ST STE N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 732 S 6TH ST STE N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6928
Country : US
Telephone Number : 323-635-4857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ ASHSHANA BLACK ” Practice Location

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