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General NPI Number Information
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NPI Number | 1699342352
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Entity Type | Individual
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Provider Name | SANNAH VASAYA DO
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Gender | Female
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 700 SHADOW LN STE 400
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City | LAS VEGAS
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State | NV
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Zip | 89106-4159
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Country | US
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Telephone | 404-788-1484
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Fax |
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Provider Business Mailing Address
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Address Line | 8791 ALTA DR STE 4073
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City | LAS VEGAS
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State | NV
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Zip | 89145-8579
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Country | US
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Telephone | 404-788-1484
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 14223865-1204
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License Number State | UT
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