Provider Demographics
NPI:1063831741
Name:OASES INSTITUTE OF HEALTH INC
Entity Type:Organization
Organization Name:OASES INSTITUTE OF HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:NWANNA
Authorized Official - Last Name:NWOKIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-750-2438
Mailing Address - Street 1:220 TIBURTINA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-3010
Mailing Address - Country:US
Mailing Address - Phone:702-750-2438
Mailing Address - Fax:702-750-2173
Practice Address - Street 1:5105 CAMINO AL NORTE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEHAS
Practice Address - State:NV
Practice Address - Zip Code:89031
Practice Address - Country:US
Practice Address - Phone:702-750-2438
Practice Address - Fax:702-750-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RE0101X, 2084P0800X, 2084P0804X, 208D00000X
NVNV 125492084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty