Organization
ACADEMIC CARDIOVASCULAR & THORACIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF I. OSMAN MD (PRESIDENT & CEO)
(702) 902-0885
Entity
Organization
Contact information
Practice address
4445 S EASTERN AVE, LAS VEGAS, NV 89119-7851
(702) 850-6850
(855) 644-2960
Mailing address
2736 KILDRUMMIE ST, HENDERSON, NV 89044-0235
(702) 902-0885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
05/15/2022
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