MEDICARE: A TO Z SLEEP CLINIC OF NV LLC

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	207QS1201X	Sleep Medicine (Family Medicine) Physician	14411	NV
2	207Q00000X	Family Medicine Physician	14411	NV

General Provider Information

NPI Number	:	1972909380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TO Z SLEEP CLINIC OF NV LLC

Provider Business Mailing Address
First Line	:	10170 W TROPICANA AVE STE 156-336
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8465
Country	:	US
Telephone Number	:	702-818-5555
Fax Number	:	702-703-5509

Provider Business Practice Location Address
First Line	:	2950 E FLAMINGO RD
Second Line	:	STE E
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5209
Country	:	US
Telephone Number	:	702-876-1263
Fax Number	:	702-876-1175

Authorized Official
Title or Position	:	HEALTHCARE PROVIDER
Name	:	DR. LUBNA JAVED
Credential	:	MD
Telephone Number	:	702-876-1263

Provider Enumeration Date	:	11/12/2014
Last Update Date	:	11/12/2014

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