Provider Demographics
NPI:1013278316
Name:SRAN, MANPREET SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:MANPREET
Middle Name:SINGH
Last Name:SRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1766 E CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-1945
Mailing Address - Country:US
Mailing Address - Phone:702-843-2440
Mailing Address - Fax:833-749-0349
Practice Address - Street 1:1766 E CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-1945
Practice Address - Country:US
Practice Address - Phone:702-843-2440
Practice Address - Fax:833-749-0349
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18732207R00000X
390200000X
TXQ9522207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program