Provider Demographics
NPI:1316365141
Name:LAS VEGAS RHEUMATOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:LAS VEGAS RHEUMATOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OKEY
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:OPARANAKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-489-5768
Mailing Address - Street 1:4100 N MARTIN L KING BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0293
Mailing Address - Country:US
Mailing Address - Phone:702-723-2086
Mailing Address - Fax:702-723-2089
Practice Address - Street 1:4100 N MARTIN L KING BLVD STE A
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032
Practice Address - Country:US
Practice Address - Phone:702-723-2086
Practice Address - Fax:702-723-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-29
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15157207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty