Healthcare Provider Details

I. General information

NPI: 1689784852
Provider Name (Legal Business Name): ANDREW M. CASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9339 W SUNSET RD STE 100
LAS VEGAS NV
89148-4847
US

IV. Provider business mailing address

5130 S FORT APACHE RD 215-415
LAS VEGAS NV
89148-1719
US

V. Phone/Fax

Practice location:
  • Phone: 702-630-3472
  • Fax: 702-946-5115
Mailing address:
  • Phone: 702-630-3472
  • Fax: 702-946-5115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number11944
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: