Provider Demographics
NPI:1790997476
Name:OASIS MEDICAL CENTER
Entity Type:Organization
Organization Name:OASIS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KOUSSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-222-3033
Mailing Address - Street 1:1842 E CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-1948
Mailing Address - Country:US
Mailing Address - Phone:702-222-3033
Mailing Address - Fax:
Practice Address - Street 1:1842 E CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-1948
Practice Address - Country:US
Practice Address - Phone:702-222-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3864207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty