Sontuss Bussaratid, M.D.
Individual provider Active NPI Psychiatry Physician · Las Vegas, NV
NPI 1043329162 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043329162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 10834 (NV)
- Practice address
- 2121 Las Vegas Blvd S
Las Vegas, NV 89104-2544 - Phone
- (702) 486-5750
- Fax
- (702) 486-5769
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10834 | NV | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 10834 | NV | Yes |
Addresses
Primary practice location
2121 Las Vegas Blvd S
Las Vegas, NV 89104-2544
Mailing address
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Phone (702) 486-6000
Other providers in Las Vegas, NV
- Mary Joy Bushey
- Kimberly Kris Maulion Bushing
- Jeffrey Brenton Bushnell
- Julie Bushnell
- Jocelyn Noelle - Moody Busolin
- Sue E Busse Allen
- Jemal A Busse
- Aliyah Busselberg
- Priscilla Bussell
- Griffin Travis Bussian
All providers in Las Vegas, NV · Psychiatry Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.