Healthcare Provider Details
I. General information
NPI: 1558627885
Provider Name (Legal Business Name): GERIATRIC SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2012
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4680 POLARIS AVE STE 200
LAS VEGAS NV
89103-5600
US
IV. Provider business mailing address
PO BOX 230134
LAS VEGAS NV
89105-0134
US
V. Phone/Fax
- Phone: 702-909-6400
- Fax: 702-333-4776
- Phone: 702-407-8241
- Fax: 702-492-1728
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | NV |
VIII. Authorized Official
Name: DR.
UPINDER
SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 702-407-8241