MEDICARE: SANDRA PAGNUSSAT 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	390200000X	Student in an Organized Health Care Education/Training Program	TRN9127	FL
2	207RR0500X	Rheumatology Physician	ME 112582	FL
3	207R00000X	Internal Medicine Physician	ME 112582	FL
4	208000000X	Pediatrics Physician	ME 112582	FL
5	2080P0216X	Pediatric Rheumatology Physician	ME 112582	FL
6	207RR0500X	Rheumatology Physician	15845	NV

General Provider Information

NPI Number	:	1841491917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA PAGNUSSAT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15645
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89114-5645
Country	:	US
Telephone Number	:	702-876-4449
Fax Number	:	702-252-4906

Provider Business Practice Location Address
First Line	:	5580 W FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-0111
Country	:	US
Telephone Number	:	702-876-4449
Fax Number	:	702-252-4906

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/01/2015

Similar Medicare Providers

1912978107 — SUSAN SCHUDER APN
Practice Location Address:

5580 W FLAMINGO RD
LAS VEGAS, NV
89103-0111

Practice Phone: 702-854-3160
Practice Fax: 702-854-3211

1538132022 — DANIEL MALONE JR. MD
Practice Location Address:

5580 W FLAMINGO RD
LAS VEGAS, NV
89103-0111

Practice Phone: 702-854-3160
Practice Fax: 702-854-3211

1093923526 — DR. KRANTHI VEERAMACHANENI M.D
Practice Location Address:

5580 W FLAMINGO RD
LAS VEGAS, NV
89103-0111

Practice Phone: 702-876-4449
Practice Fax:

1407290067 — BEAUTIFUL MINDS BEHAVIORAL HEALTH FACILITY LLC
Practice Location Address:

4332 TWIN PEAKS DR
NORTH LAS VEGAS, NV
89032-0111

Practice Phone: 702-813-5413
Practice Fax:

1194160440 — MRS. ELIZABETH MARIE HOUGH RN
Practice Location Address:

4332 TWIN PEAKS DR
NORTH LAS VEGAS, NV
89032-0111

Practice Phone: 702-813-5413
Practice Fax:

1881020675 — LILIA MAHONY
Practice Location Address:

4332 TWIN PEAKS DR
NORTH LAS VEGAS, NV
89032-0111

Practice Phone: 702-813-5413
Practice Fax:

Directions to “ SANDRA PAGNUSSAT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.