Provider Demographics
NPI:1194905059
Name:CARDIOVASCULAR AND THORACIC SURGEONS OF NEVADA LTD
Entity type:Organization
Organization Name:CARDIOVASCULAR AND THORACIC SURGEONS OF NEVADA LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-454-7311
Mailing Address - Street 1:4160 S PECOS RD
Mailing Address - Street 2:#10
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5025
Mailing Address - Country:US
Mailing Address - Phone:702-454-7311
Mailing Address - Fax:702-454-1197
Practice Address - Street 1:4160 S PECOS RD
Practice Address - Street 2:#10
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5025
Practice Address - Country:US
Practice Address - Phone:702-454-7311
Practice Address - Fax:702-454-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3346NV208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVWCGVWMedicare PIN