Individual
SAMSON ORIAKU OTUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 383-3620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11420
NV
207L00000X
Anesthesiology Physician
C2379
KY
207LP3000X
Pediatric Anesthesiology Physician
Primary
C2379
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002082602
—
NV
05
—
1750356846
—
NV
01
—
7616868
NORTH CAROLINA
NC
01
—
XPY202599Q80
CALIFORNIA MEDICAID
NV
Enumeration date
02/22/2006
Last updated
05/03/2024
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