Healthcare Provider Details

I. General information

NPI: 1720165038
Provider Name (Legal Business Name): PRITI NARULA MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9807 HIGHRIDGE DR
LAS VEGAS NV
89134-6728
US

IV. Provider business mailing address

8378 HIDDEN CROSSING LN
LAS VEGAS NV
89129-4892
US

V. Phone/Fax

Practice location:
  • Phone: 725-220-4200
  • Fax: 702-666-8633
Mailing address:
  • Phone: 702-240-6952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PRITI NARULA
Title or Position: DIRECTOR
Credential: M.D
Phone: 702-240-6952