MEDICARE: OASIS MEDICAL CENTER

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	207Q00000X	Family Medicine Physician	3864	NV

General Provider Information

NPI Number	:	1790997476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1842 E CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-1948
Country	:	US
Telephone Number	:	702-222-3033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1842 E CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-1948
Country	:	US
Telephone Number	:	702-222-3033
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	DR. KOUSSAY ZARKA
Credential	:
Telephone Number	:	702-222-3033

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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Directions to “OASIS MEDICAL CENTER ” Practice Location

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