Organization
RD PRABHU-LATA K SHETE MDS LTD
Active
Other names
The Sleep Center of Nevada, The Sleep Centers of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JO BLOCK (CREDENTIALING AGENT)
(702) 318-9072
Entity
Organization
Contact information
Practice address
1905 CIVIC CENTER DRIVE, STE 201, N. LAS VEGAS, NV 89030
(702) 649-3736
(702) 649-3709
Mailing address
5701 W. CHARLESTON BLVD, STE. 100, LAS VEGAS, NV 89146
(702) 877-9514
(702) 312-3510
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
10/29/2020
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