Individual
VIVEK SRINARAYANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8660
(702) 877-5140
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-8661
(702) 877-5140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11571
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247707
—
NJ
05
—
100507544
—
NV
05
—
1194796771
—
NV
05
—
200122850 A
—
OK
05
—
31129234
—
NM
05
—
77639839
—
CO
05
—
977142
—
AZ
Enumeration date
01/31/2006
Last updated
01/13/2017
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