Healthcare Provider Details

I. General information

NPI: 1053237990
Provider Name (Legal Business Name): RD PRABHU-LATA K SHETE MDS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N GREEN VALLEY PKWY STE 330
HENDERSON NV
89074-6393
US

IV. Provider business mailing address

100 N GREEN VALLEY PKWY STE 330
HENDERSON NV
89074-6393
US

V. Phone/Fax

Practice location:
  • Phone: 702-528-9595
  • Fax:
Mailing address:
  • Phone: 702-528-9595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CINDY G VERA
Title or Position: DIRECTOR
Credential:
Phone: 702-818-2444