Healthcare Provider Details

I. General information

NPI: 1962368746
Provider Name (Legal Business Name): BRIGHTPATH CLINICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 PECOS MCLEOD INTERCONNECT C-170
LAS VEGAS NV
89121
US

IV. Provider business mailing address

3910 PECOS MCLEOD INTERCONNECT C-170
LAS VEGAS NV
89121
US

V. Phone/Fax

Practice location:
  • Phone: 725-735-5278
  • Fax: 725-735-5278
Mailing address:
  • Phone: 725-735-5278
  • Fax: 725-735-5278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MAHMUD SHEIKH
Title or Position: OWNER
Credential:
Phone: 725-735-5278