Provider Demographics
NPI:1417756776
Name:SANTA ROSA MEDICAL CENTERS OF NEVADA, INC
Entity type:Organization
Organization Name:SANTA ROSA MEDICAL CENTERS OF NEVADA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:IRSHAD
Authorized Official - Last Name:PERVAIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-693-6222
Mailing Address - Street 1:4161 S EASTERN AVE STE B3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5483
Mailing Address - Country:US
Mailing Address - Phone:702-693-6222
Mailing Address - Fax:702-369-6504
Practice Address - Street 1:9310 S EASTERN AVE STE 123
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6844
Practice Address - Country:US
Practice Address - Phone:702-693-6222
Practice Address - Fax:702-369-6504
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTA ROSA MEDICAL CENTERS OF NEVADA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty