Healthcare Provider Details

I. General information

NPI: 1952336257
Provider Name (Legal Business Name): MEENA P VOHRA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W CHARLESTON BLVD UNIVERSITY MEDICAL CENTER
LAS VEGAS NV
89102-2329
US

IV. Provider business mailing address

PO BOX 371540
LAS VEGAS NV
89137-1540
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-2420
  • Fax: 702-383-8402
Mailing address:
  • Phone: 702-383-2420
  • Fax: 702-383-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MEENA P VOHRA
Title or Position: PRESIDENT
Credential: MD
Phone: 702-383-2420