Healthcare Provider Details

I. General information

NPI: 1043297732
Provider Name (Legal Business Name): UDAY R SARAIYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E FLAMINGO RD
LAS VEGAS NV
89119-5124
US

IV. Provider business mailing address

3970 ROYAL VIKING WAY
LAS VEGAS NV
89121-4108
US

V. Phone/Fax

Practice location:
  • Phone: 702-386-4700
  • Fax: 702-386-4701
Mailing address:
  • Phone: 702-256-3637
  • Fax: 702-256-3307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number6237
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: