Individual
DR. ERNEST M. SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3196 S MARYLAND PKWY, STE. 410, LAS VEGAS, NV 89109-2305
(702) 293-0176
(702) 293-0938
Mailing address
8550 W DESERT INN RD, STE. 102-254, LAS VEGAS, NV 89117-4401
(702) 293-0176
(702) 293-0938
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6328
NV
208800000X
Urology Physician
G68463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019147
—
NV
01
—
6328
NEVADA MEDICAL LICENSE
NV
01
—
CS06238
NV STATE PHARMACY
NV
Enumeration date
10/04/2006
Last updated
03/07/2023
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