Organization
MEDICAL GENETICS OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA SORRENTINO M.D. (PHYSICIAN)
(702) 732-6800
Entity
Organization
Contact information
Practice address
2538 ANTHEM VILLAGE DR STE 110, HENDERSON, NV 89052-5551
(702) 732-6800
(702) 932-9611
Mailing address
2538 ANTHEM VILLAGE DR STE 110, HENDERSON, NV 89052-5551
(702) 732-6800
(702) 932-9611
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770741555
—
NV
Enumeration date
06/18/2020
Last updated
12/14/2021
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