Individual
BENJAMIN CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 952-9171
(702) 952-9170
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17899
NV
207R00000X
Internal Medicine Physician
A103128
CA
208M00000X
Hospitalist Physician
A103128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578739835
—
NV
01
—
17899
NV STATE LICENSE
NV
Enumeration date
05/06/2008
Last updated
11/01/2022
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