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Organization
SPANISH HILLS SURGICAL CENTER LLC
Active
Organization
SPANISH HILLS SURGICAL CENTER LLC
Active
Other names
Spanish Hills Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK DESAI MD (PRESIDENT)
(702) 382-8101
Entity
Organization
Contact information
Practice address
5915 S RAINBOW BOULEVARD, SUITE #106, LAS VEGAS, NV 89113
(702) 382-8101
(702) 382-4890
Mailing address
700 SHADOW LN, SUITE #165A, LAS VEGAS, NV 89106-4126
(702) 382-8101
(702) 382-4890
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING ISSUE
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
685095
NV STATE BUSINESS LICENSE
NV
Enumeration date
03/15/2007
Last updated
08/22/2020
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