Healthcare Provider Details

I. General information

NPI: 1538544119
Provider Name (Legal Business Name): CARA GOO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 AMIGO ST
LAS VEGAS NV
89123-1210
US

IV. Provider business mailing address

8025 AMIGO ST
LAS VEGAS NV
89123-1210
US

V. Phone/Fax

Practice location:
  • Phone: 702-380-8300
  • Fax:
Mailing address:
  • Phone: 702-380-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005449
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberDO4178
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: