Provider Demographics
NPI:1619194768
Name:NUTAN K PARIKH MD LTD APC
Entity Type:Organization
Organization Name:NUTAN K PARIKH MD LTD APC
Other - Org Name:LAS VEGAS CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KONIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-471-7779
Mailing Address - Street 1:PO BOX 777550
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-7550
Mailing Address - Country:US
Mailing Address - Phone:702-471-7779
Mailing Address - Fax:702-471-0484
Practice Address - Street 1:2904 W. HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-471-7779
Practice Address - Fax:702-471-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV31463Medicare PIN