Individual
DR. AHMED A SAGASLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2904 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5016
(702) 780-0300
(702) 608-4977
Mailing address
2901 E 29TH ST, BRYAN, TX 77802-2692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15257
NV
207R00000X
Internal Medicine Physician
62308
AZ
207R00000X
Internal Medicine Physician
Primary
Q3086
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
15257
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MC-2614
ID
207RP1001X
Pulmonary Disease Physician
15257
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VWQBHV
UNSOM GROUP MEDICARE #
NV
Enumeration date
03/23/2011
Last updated
02/08/2024
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