Healthcare Provider Details

I. General information

NPI: 1164352480
Provider Name (Legal Business Name): ADVANCED VASCULAR ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10561 JEFFREYS ST. SUITE 100
HENDERSON NV
89052-4267
US

IV. Provider business mailing address

9811 W. CHARLESTON BLVD #2640
LAS VEGAS NV
89117-7528
US

V. Phone/Fax

Practice location:
  • Phone: 702-565-8346
  • Fax: 702-202-2000
Mailing address:
  • Phone: 702-565-8346
  • Fax: 702-202-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: EDDY H LUH
Title or Position: PARTNER/PHYSICIAN
Credential: M.D.
Phone: 702-565-8346