Organization
PAHRUMP GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSAMA OMAR HAIKAL M.D. (OWNER)
(702) 734-0505
Entity
Organization
Contact information
Practice address
360 S LOLA LN, PAHRUMP, NV 89048-0884
(775) 751-7580
(775) 751-7820
Mailing address
2136 E DESERT INN RD, STE A, LAS VEGAS, NV 89169-3247
(702) 734-0505
(702) 734-3912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NV20111561669
NV
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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