MEDICARE: PETER SU MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1073275566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER SU MD LLC

Provider Business Mailing Address
First Line	:	8545 W. WARM SPRINGS ROAD
Second Line	:	SUITE A-4 #396
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-789-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	9260 W SUNSET RD STE 306
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-779-3994
Fax Number	:	888-464-0838

Authorized Official
Title or Position	:	CEO
Name	:	PETER SU
Credential	:	MD
Telephone Number	:	702-789-9698

Provider Enumeration Date	:	10/12/2021
Last Update Date	:	10/25/2023

Similar Medicare Providers

1750354239 — PAUL TOMASIC
Practice Location Address:

9260 W SUNSET RD STE 207 , STE. 207
LAS VEGAS, NV
89148-4903

Practice Phone: 702-304-5756
Practice Fax: 702-906-0933

1093773715 — DANIELLA COURBAN MD
Practice Location Address:

9260 W SUNSET RD STE 200
LAS VEGAS, NV
89148-4903

Practice Phone: 702-216-3346
Practice Fax:

1104850635 — DR. ANTHONY V BORGIA DPM
Practice Location Address:

9260 W SUNSET RD STE 201
LAS VEGAS, NV
89148-4903

Practice Phone: 702-947-2005
Practice Fax: 702-947-4923

1720195605 — DR. ELHAM H ELZIND M.D.
Practice Location Address:

9260 W SUNSET RD STE 200
LAS VEGAS, NV
89148-4903

Practice Phone: 702-216-3346
Practice Fax: 702-671-6883

1992895601 — DAVID QUAN SHIH MD
Practice Location Address:

9260 W SUNSET RD STE 306
LAS VEGAS, NV
89148-4903

Practice Phone: 702-483-4483
Practice Fax: 702-410-6670

1326127408 — IRA WEINER DPM
Practice Location Address:

9260 W SUNSET RD STE 201
LAS VEGAS, NV
89148-4903

Practice Phone: 702-389-5360
Practice Fax: 702-829-8420

1225175524 — BRIAN JAMES CARR MD
Practice Location Address:

9260 W SUNSET RD STE 200
LAS VEGAS, NV
89148-4903

Practice Phone: 702-963-1231
Practice Fax: 702-442-9309

Directions to “PETER SU MD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.