MEDICARE: ASTRO WOUND & MEDICAL PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1548083249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTRO WOUND & MEDICAL PLLC

Provider Business Mailing Address
First Line	:	5510 S FORT APACHE RD STE 277
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 W DESERT INN RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7720
Country	:	US
Telephone Number	:	818-913-3860
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTINA SAHAKIAN
Credential	:
Telephone Number	:	818-642-7370

Provider Enumeration Date	:	11/02/2024
Last Update Date	:	01/22/2026

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