Healthcare Provider Details

I. General information

NPI: 1578478673
Provider Name (Legal Business Name): COMPREHENSIVE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N NELLIS BLVD
LAS VEGAS NV
89115-6604
US

IV. Provider business mailing address

4616 W SAHARA AVE # 337
LAS VEGAS NV
89102-3654
US

V. Phone/Fax

Practice location:
  • Phone: 702-880-4193
  • Fax: 702-227-0523
Mailing address:
  • Phone: 702-880-4193
  • Fax: 702-880-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GODWIN ONYEAGBA MADUKA
Title or Position: OWNER
Credential: MD
Phone: 702-880-4193