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NPI Code Detail

MEDICARE: SARA ALLEYASIN

MEDICARE: SARA ALLEYASIN
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
1207RG0100XGastroenterology Physician20A23783CA
2207R00000XInternal Medicine PhysicianSL1429NV

General Provider Information

NPI Number : 1790340990
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ALLEYASIN
Provider Business Mailing Address
First Line : 620 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4119
Country : US
Telephone Number : 702-388-8000
Fax Number : 702-388-8431
Provider Business Practice Location Address
First Line : 620 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4119
Country : US
Telephone Number : 702-388-8000
Fax Number : 702-388-8431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2019
Last Update Date : 04/08/2026

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Directions to “ SARA ALLEYASIN ” Practice Location

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