Healthcare Provider Details

I. General information

NPI: 1316871395
Provider Name (Legal Business Name): DESERT ROSE SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7475 W SAHARA AVE STE 103
LAS VEGAS NV
89117-2768
US

IV. Provider business mailing address

2031 MCDANIEL ST STE 200
NORTH LAS VEGAS NV
89030-6312
US

V. Phone/Fax

Practice location:
  • Phone: 702-294-0080
  • Fax:
Mailing address:
  • Phone: 702-294-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERIF HARAWAY
Title or Position: CEO
Credential: MD
Phone: 702-294-0080