Randa Amin Bascharon in Las Vegas - Sports Medicine

Randa Amin Bascharon - NPI 1205883642

Randa Amin Bascharon is a Sports Medicine in Las Vegas, Nevada. Randa Amin Bascharon practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Randa Amin Bascharon is 1205883642. The last update date is 2014-01-24.

Randa Amin Bascharon's current location address is 4132 S Rainbow #393, Las Vegas, Nevada. You can contact this provider via phone number 7029477790 and fax number 7029477792. The mailing address for Randa Amin Bascharon is 4132 S Rainbow #393, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Randa Amin Bascharon
Address 4132 S Rainbow #393, Las Vegas, Nevada
Phone Number 7029477790
Fax Number 7029477792
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1205883642
Provider Enumeration Date 2006-05-30
Last Updated Date 2014-01-24

Provider Mailing Address Detail

Address 4132 S Rainbow #393
City Las Vegas
State Nevada (NV)
Post Code 89103
Phone Number 7029477790
Fax Number 7029477792

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 1103
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100503044 NV --
XTE006922 CA CALIF MEDI-CAL

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FAQs about Randa Amin Bascharon

What is the unique identification code assigned to Randa Amin Bascharon by the Centers for Medicare & Medicaid Services?

The Randa Amin Bascharon has been issued the NPI (National Provider Identifier) 1205883642. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Randa Amin Bascharon?

The Randa Amin Bascharon is situated at 4132 S Rainbow #393, in the city of Las Vegas, state of NV, with the zip code 89103.

What is Randa Amin Bascharon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randa Amin Bascharon is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.

When was the Randa Amin Bascharon's 1205883642 issued?

The Randa Amin Bascharon's 1205883642 was issued on 2006-05-30.

As of what date were the details pertaining to Randa Amin Bascharon last refreshed?

The information related to the Randa Amin Bascharon, including its address, specialty, and other relevant details, was last updated on 2014-01-24.

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