Organization
ROSE ORCHID MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUPRIYA DASARI M.D (OWNER/PROVIDER)
(510) 825-2594
Entity
Organization
Contact information
Practice address
710 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-4291
(702) 622-0395
(702) 602-6800
Mailing address
710 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-4291
(702) 622-0395
(702) 602-6800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
01/09/2023
Last updated
01/10/2023
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