Provider Demographics
NPI:1407077803
Name:SARAN, PRAVEEN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PRAVEEN
Middle Name:
Last Name:SARAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7529 BELGIAN LION ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-5302
Mailing Address - Country:US
Mailing Address - Phone:702-633-6006
Mailing Address - Fax:702-633-9110
Practice Address - Street 1:7010 SMOKE RANCH RD
Practice Address - Street 2:STE. 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-3123
Practice Address - Country:US
Practice Address - Phone:702-633-6006
Practice Address - Fax:702-633-9110
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9683207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018136Medicaid
NVV38962Medicare ID - Type UnspecifiedMEDICARE
NV002018136Medicaid