# MEDTRANS MEDICAL NEVADA CASAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750846549
- **Authorized official:** ROYA BEUOKAGHAEI (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (702) 410-7825

## Contact information

- **Practice address:** 3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
- **Practice address phone:** (702) 410-7825
- **Mailing address:** 3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
- **Mailing address phone:** (702) 410-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 10/27/2023