Healthcare Provider Details

I. General information

NPI: 1013919588
Provider Name (Legal Business Name): SHEIKH SHEHRYAR SAGHIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S RAINBOW BLVD SUITE 108
LAS VEGAS NV
89146-4006
US

IV. Provider business mailing address

2600 S RAINBOW BLVD SUITE 108
LAS VEGAS NV
89146-4006
US

V. Phone/Fax

Practice location:
  • Phone: 702-921-6823
  • Fax: 702-921-6821
Mailing address:
  • Phone: 702-921-6823
  • Fax: 702-921-6821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9161
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number9161
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: