1952336257 NPI number — MEENA P VOHRA MD PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952336257 NPI number — MEENA P VOHRA MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEENA P VOHRA MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LAS VEGAS PEDIATRIC CRITICAL CARE ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952336257
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 371540
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89137-1540
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-383-2420
Provider Business Mailing Address Fax Number:
702-383-8402

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 W CHARLESTON BLVD
Provider Second Line Business Practice Location Address:
UNIVERSITY MEDICAL CENTER
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89102-2329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-383-2420
Provider Business Practice Location Address Fax Number:
702-383-8402
Provider Enumeration Date:
07/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VOHRA
Authorized Official First Name:
MEENA
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
702-383-2420

Provider Taxonomy Codes

  • Taxonomy code: 2080P0203X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)