Healthcare Provider Details

I. General information

NPI: 1245287812
Provider Name (Legal Business Name): UDAY R SARAIYA MD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 12/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E FLAMINGO RD #210
LAS VEGAS NV
89119-5122
US

IV. Provider business mailing address

2121 E FLAMINGO RD #210
LAS VEGAS NV
89119-5122
US

V. Phone/Fax

Practice location:
  • Phone: 702-862-4814
  • Fax:
Mailing address:
  • Phone: 702-862-4814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: UDAY R SARAIYA
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 702-862-4814