Healthcare Provider Details

I. General information

NPI: 1003611781
Provider Name (Legal Business Name): ZSA ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2355 RED ROCK ST
LAS VEGAS NV
89146-3180
US

IV. Provider business mailing address

2355 RED ROCK ST
LAS VEGAS NV
89146-3180
US

V. Phone/Fax

Practice location:
  • Phone: 606-425-6648
  • Fax:
Mailing address:
  • Phone: 606-425-6648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ZEESHAN ASIF
Title or Position: OWNER/MD
Credential: MD
Phone: 606-425-6648