Matthew Sudo
Individual provider Active NPI Adult Companion · Las Vegas, NV
NPI 1295559532 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1295559532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 3920 E Patrick LN Ste 105
Las Vegas, NV 89120-3927 - Phone
- (702) 848-2015
- NPI assigned
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Yes |
Addresses
Primary practice location
3920 E Patrick LN Ste 105
Las Vegas, NV 89120-3927
Mailing address
3920 E Patrick LN Ste 105
Las Vegas, NV 89120-3927
Phone (702) 848-2015
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. 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.