Vegas Medical Center PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

7683 Issued in NV

Legal business name

VEGAS MEDICAL CENTER PLLC

Practice address

1701 W Charleston Blvd Ste 600
Las Vegas, NV 89102-2343

Phone

(702) 763-4585

Fax

(702) 921-9264

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Quan Haduong, MD

Title

Medical Director

Phone

(702) 763-4585

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1508219833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 600",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022343",
            "telephone_number": "702-763-4585",
            "fax_number": "702-921-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 600",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022343",
            "telephone_number": "702-763-4585",
            "fax_number": "702-921-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "HADUONG",
        "authorized_official_first_name": "QUAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-763-4585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00862",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "7683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine (Anesthesiology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.