Individual
SUHATTAI GAMNERDSIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 PINTO LN STE 200, LAS VEGAS, NV 89106-4066
(702) 367-9300
(702) 367-9400
Mailing address
1000 N GREEN VALLEY PKWY # 440-398, HENDERSON, NV 89074-6170
(702) 260-4107
(702) 896-2849
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9094
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018154
—
NV
01
—
110227405
RAILROAD MEDICARE
NV
01
—
CC1182
NV BLUE SHIELD
NV
Enumeration date
09/13/2006
Last updated
03/29/2023
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