PB Lal MD a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12473 Issued in NV

Legal business name

PB LAL MD A PROFESSIONAL CORPORATION

Practice address

5701 W Charleston Blvd
Suite 102
Las Vegas, NV 89146-1217

Phone

(702) 921-6829

NPI assigned

Jul 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pratibha Bobby Lal, M.D.NPI 1215918727

Title

Owner

Phone

(702) 921-6829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pratibha Bobby Lal, M.D.

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1215918727
  Medicare reassignment NPD Authorized official
• Vishal Gandotra, MD

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1336137603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1033423132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR",
            "address_2": "#3-604",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-921-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461217",
            "telephone_number": "702-921-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB LAL MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "LAL",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_middle_name": "BOBBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-921-6829",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "12473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Caridad Paz, MSW
• Lionel Paz
• Mercedes Paz
• Tony Pazo
• Monica Pazos
• PBC LLC
• PBP Group, LLC
• PBS Anesthesia LLC
• PBS Anesthesia LLC
• Pcas of Nevada Inc

• Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.