MEDICARE: ANDRES FELIPE SEPULVEDA ESTRADA M.D.

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	207L00000X	Anesthesiology Physician	57.013019	OH
2	207L00000X	Anesthesiology Physician	15012	NV
3	207L00000X	Anesthesiology Physician	35.097019	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235306770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES FELIPE SEPULVEDA ESTRADA M.D.

Provider Business Mailing Address
First Line	:	7501 TRINITY PEAK AVE STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9026
Country	:	US
Telephone Number	:	702-900-4085
Fax Number	:	630-812-7919

Provider Business Practice Location Address
First Line	:	7501 TRINITY PEAK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9026
Country	:	US
Telephone Number	:	702-900-4085
Fax Number	:	630-812-7919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	04/06/2026

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Directions to “ ANDRES FELIPE SEPULVEDA ESTRADA M.D.” Practice Location

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