Provider Demographics
NPI:1407575442
Name:NASRI PLLC
Entity Type:Organization
Organization Name:NASRI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:028-044-7297
Mailing Address - Street 1:5130 S FORT APACHE RD STE 215
Mailing Address - Street 2:PMB 389
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1732
Mailing Address - Country:US
Mailing Address - Phone:702-804-4729
Mailing Address - Fax:702-804-4737
Practice Address - Street 1:3150 N TENAYA WAY STE 340
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0447
Practice Address - Country:US
Practice Address - Phone:702-804-4729
Practice Address - Fax:702-804-4737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty