Individual
DR. RANDA AMIN BASCHARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7281 W SAHARA AVE STE 110, LAS VEGAS, NV 89117-2802
(702) 947-7790
(702) 947-7792
Mailing address
4132 S RAINBOW #393, LAS VEGAS, NV 89103
(702) 947-7790
(702) 947-7792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1103
NV
207X00000X
Orthopaedic Surgery Physician
20A8358
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
1103
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
20A8358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503044
—
NV
01
—
XTE006922
CALIF MEDI-CAL
CA
Enumeration date
05/30/2006
Last updated
01/24/2014
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