Individual
DR. SHEILA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2850 S MOJAVE RD LOT A, LAS VEGAS, NV 89121-1355
(702) 386-4700
(702) 386-4701
Mailing address
3157 N RAINBOW BLVD, #518, LAS VEGAS, NV 89108-4578
(702) 386-4700
(702) 386-4701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036162159
IL
207L00000X
Anesthesiology Physician
102085-875
WI
207L00000X
Anesthesiology Physician
11875
HI
207L00000X
Anesthesiology Physician
8311
NV
207L00000X
Anesthesiology Physician
Primary
G68831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000236455
HMSA PROVIDER NUMBER
HI
01
—
BG302
MEDICARE PTAN
NV
01
—
MD11875
STATE LICENCE
HI
01
—
P00070482
RAILROAD MEDICARE
HI
Enumeration date
08/03/2005
Last updated
12/12/2024
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