Provider Demographics
NPI:1568658151
Name:DESERT OASIS MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:DESERT OASIS MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WAHEED
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZEHRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-758-0121
Mailing Address - Street 1:3650 S POINTE CIR STE 205
Mailing Address - Street 2:
Mailing Address - City:LAUGHLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89029-0423
Mailing Address - Country:US
Mailing Address - Phone:928-758-0121
Mailing Address - Fax:928-758-0145
Practice Address - Street 1:3650 S POINTE CIR STE 205
Practice Address - Street 2:
Practice Address - City:LAUGHLIN
Practice Address - State:NV
Practice Address - Zip Code:89029-0423
Practice Address - Country:US
Practice Address - Phone:928-758-0121
Practice Address - Fax:928-758-0145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8165207R00000X
207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty