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General NPI Number Information
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NPI Number | 1811041841
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Entity Type | Organization
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Legal Business Name | SHIVAY SARAN INTERNATIONAL CHARTERED
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2610 E LAKE MEAD BLVD STE A
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City | N LAS VEGAS
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State | NV
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Zip | 89030-2436
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Country | US
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Telephone | 702-633-6006
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Fax | 702-633-9110
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Provider Business Mailing Address
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Address Line | 2610 E LAKE MEAD BLVD STE A
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City | N LAS VEGAS
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State | NV
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Zip | 89030-2436
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Country | US
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Telephone | 702-633-6006
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Fax | 702-633-9110
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PRAVEEN SARAN
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Credential | MD
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Telephone | 702-633-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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