Healthcare Provider Details

I. General information

NPI: 1245262302
Provider Name (Legal Business Name): SAHARA URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3013 W SAHARA AVE
LAS VEGAS NV
89102-6094
US

IV. Provider business mailing address

3013 W SAHARA AVE
LAS VEGAS NV
89102-6094
US

V. Phone/Fax

Practice location:
  • Phone: 702-362-3322
  • Fax: 702-734-3322
Mailing address:
  • Phone: 702-362-3322
  • Fax: 702-734-3322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number11538
License Number StateNV

VIII. Authorized Official

Name: ARAIK AVAKIAN
Title or Position: OWNER
Credential:
Phone: 702-362-3322