Organization
SPANISH HILLS SURGICAL CENTER LLC
Active
Other names
Spanish Hills Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK DESAI MD (PRESIDENT)
(702) 382-8101
Entity
Organization
Contact information
Practice address
5915 S RAINBOW BOULEVARD, SUITE #106, LAS VEGAS, NV 89113
(702) 382-8101
(702) 382-4890
Mailing address
700 SHADOW LN, SUITE #165A, LAS VEGAS, NV 89106-4126
(702) 382-8101
(702) 382-4890
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING ISSUE
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
685095
NV STATE BUSINESS LICENSE
NV
Enumeration date
03/15/2007
Last updated
08/22/2020
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