MEDICARE: SOUTHERN NEVADA ANESTHESIOLOGY

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	10048	NV

General Provider Information

NPI Number	:	1770689424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN NEVADA ANESTHESIOLOGY

Provider Business Mailing Address
First Line	:	6170 W LAKE MEAD BLVD
Second Line	:	SUITE 274
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2661
Country	:	US
Telephone Number	:	702-339-1228
Fax Number	:	702-255-8653

Provider Business Practice Location Address
First Line	:	6170 W LAKE MEAD BLVD
Second Line	:	SUITE 274
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2661
Country	:	US
Telephone Number	:	702-339-1228
Fax Number	:	702-255-8653

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PATRICK CHO
Credential	:	MD
Telephone Number	:	702-339-1228

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	01/29/2008

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Directions to “SOUTHERN NEVADA ANESTHESIOLOGY ” Practice Location

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