Provider Demographics
NPI:1477632685
Name:JURANI, ROSALITA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALITA
Middle Name:C
Last Name:JURANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:633 N DECATUR BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1943
Mailing Address - Country:US
Mailing Address - Phone:702-258-4900
Mailing Address - Fax:702-258-5006
Practice Address - Street 1:633 N DECATUR BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1943
Practice Address - Country:US
Practice Address - Phone:702-258-4900
Practice Address - Fax:702-258-5006
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV68432080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV37023Medicare ID - Type Unspecified
NVC37229Medicare UPIN