Individual
SUKHDEV UPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3201 S MARYLAND PKWY, STE 314, LAS VEGAS, NV 89109-2441
(702) 796-8500
(702) 796-8502
Mailing address
4440 E WASHINGTON AVE, STE 109, LAS VEGAS, NV 89110-5793
(702) 796-8500
(702) 796-8502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA723
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503813
—
NV
Enumeration date
06/04/2006
Last updated
01/09/2020
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