Individual
OTHELLA ANN JURANI-SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4730 S FORT APACHE RD STE 150, LAS VEGAS, NV 89147-7959
(702) 940-1570
(702) 940-1571
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13870
NV
207Q00000X
Family Medicine Physician
MD26317
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346299328
—
NV
01
—
13870
STATE LICENSE
NV
Enumeration date
05/08/2006
Last updated
10/18/2022
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