Healthcare Provider Details
I. General information
NPI: 1780010835
Provider Name (Legal Business Name): AURANGZEB NAGY, MD, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2013
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3012 S DURANGO DR
LAS VEGAS NV
89117-9186
US
IV. Provider business mailing address
PO BOX 36830
LAS VEGAS NV
89133-6830
US
V. Phone/Fax
- Phone: 29-014-2337
- Fax: 702-946-0864
- Phone: 702-901-4233
- Fax: 702-946-0864
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANINE
RICCI
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-998-2907