Individual
BASKER PERIYASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3051 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4690
(702) 726-6344
(702) 726-5828
Mailing address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13305
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821187188
—
NV
05
—
467915
—
AZ
Enumeration date
10/12/2006
Last updated
06/03/2025
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