Healthcare Provider Details

I. General information

NPI: 1740475862
Provider Name (Legal Business Name): VENKAT VEERAPPAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 04/24/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9280 W. SUNSET RD SUITE 236
LAS VEGAS NV
89148-4861
US

IV. Provider business mailing address

PO BOX 370231
LAS VEGAS NV
89137-0231
US

V. Phone/Fax

Practice location:
  • Phone: 702-732-2600
  • Fax: 702-732-2622
Mailing address:
  • Phone: 702-732-2600
  • Fax: 702-732-2622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VENKATACHALAM VEERAPPAN
Title or Position: PRESIDENT
Credential: MD
Phone: 702-732-2600