Healthcare Provider Details

I. General information

NPI: 1063619468
Provider Name (Legal Business Name): EDDY H LUH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S RANCHO DR SUITE F38
LAS VEGAS NV
89106-4828
US

IV. Provider business mailing address

9811 W CHARLESTON BLVD SUITE 2640
LAS VEGAS NV
89117-7528
US

V. Phone/Fax

Practice location:
  • Phone: 702-258-7788
  • Fax: 702-258-7787
Mailing address:
  • Phone: 702-258-7788
  • Fax: 702-258-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9681
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number9681
License Number StateNV

VIII. Authorized Official

Name: DR. EDDY H LUH
Title or Position: PRESIDENT
Credential: MD
Phone: 702-258-7788