Healthcare Provider Details

I. General information

NPI: 1437982907
Provider Name (Legal Business Name): SAHARA URGENT CARE & PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3468 E SAHARA AVE STE 170A
LAS VEGAS NV
89104-4827
US

IV. Provider business mailing address

3468 E SAHARA AVE STE 170A
LAS VEGAS NV
89104-4827
US

V. Phone/Fax

Practice location:
  • Phone: 702-613-0661
  • Fax: 725-291-5647
Mailing address:
  • Phone: 702-613-0661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ARMENAK MURADYAN
Title or Position: OWNER
Credential:
Phone: 702-613-0661