Provider Demographics
NPI:1306230610
Name:KASAR, PRACHI (MD)
Entity Type:Individual
Prefix:
First Name:PRACHI
Middle Name:
Last Name:KASAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 E. LAKE MEAD BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030
Mailing Address - Country:US
Mailing Address - Phone:702-818-1919
Mailing Address - Fax:702-399-5499
Practice Address - Street 1:1815 E. LAKE MEAD BLVD
Practice Address - Street 2:STE 215
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030
Practice Address - Country:US
Practice Address - Phone:702-818-1919
Practice Address - Fax:702-399-5499
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NV20377207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program