Healthcare Provider Details

I. General information

NPI: 1558767806
Provider Name (Legal Business Name): SAUMYA VINOD JOSHI MBBS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2014
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3726 LAS VEGAS BLVD S UNIT 3406
LAS VEGAS NV
89158-4398
US

IV. Provider business mailing address

3726 LAS VEGAS BLVD S UNIT 3406
LAS VEGAS NV
89158-4398
US

V. Phone/Fax

Practice location:
  • Phone: 412-708-2759
  • Fax:
Mailing address:
  • Phone: 412-708-2759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number24534
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: