Healthcare Provider Details

I. General information

NPI: 1588126684
Provider Name (Legal Business Name): RANDAL JOHN RIHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 E PRATER WAY
SPARKS NV
89434-9641
US

IV. Provider business mailing address

2375 E PRATER WAY
SPARKS NV
89434-9641
US

V. Phone/Fax

Practice location:
  • Phone: 775-331-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34925
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number26592
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: