Healthcare Provider Details

I. General information

NPI: 1972909380
Provider Name (Legal Business Name): A TO Z SLEEP CLINIC OF NV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 E FLAMINGO RD STE E
LAS VEGAS NV
89121-5209
US

IV. Provider business mailing address

10170 W TROPICANA AVE STE 156-336
LAS VEGAS NV
89147-8465
US

V. Phone/Fax

Practice location:
  • Phone: 702-876-1263
  • Fax: 702-876-1175
Mailing address:
  • Phone: 702-818-5555
  • Fax: 702-703-5509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number14411
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number14411
License Number StateNV

VIII. Authorized Official

Name: DR. LUBNA JAVED
Title or Position: HEALTHCARE PROVIDER
Credential: MD
Phone: 702-876-1263