Healthcare Provider Details

I. General information

NPI: 1457731242
Provider Name (Legal Business Name): JANDA, MAHAJAN & BALSIGER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 WELLNESS WAY STE 300
LAS VEGAS NV
89106-4145
US

IV. Provider business mailing address

1930 VILLAGE CENTER CIRCLE 3-717
LAS VEGAS NV
89134
US

V. Phone/Fax

Practice location:
  • Phone: 702-432-2233
  • Fax: 702-800-5456
Mailing address:
  • Phone: 702-432-2233
  • Fax: 702-800-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBEKAH DEE TRUMAN
Title or Position: CONTROLLER
Credential:
Phone: 702-432-2233