Organization
SASSAN KAVEH MD PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASSAN KAVEH MD (PRESIDENT)
(702) 233-6661
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY, SUITE 400, LAS VEGAS, NV 89128-0443
(702) 233-6661
(702) 233-3055
Mailing address
3150 N TENAYA WAY, SUITE 400, LAS VEGAS, NV 89128-0443
(702) 233-6661
(702) 233-3055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8320
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851385447
—
NV
01
—
6750110001
PTAN
NV
Enumeration date
07/21/2006
Last updated
12/28/2020
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