Provider Demographics
NPI:1508382813
Name:HARVARD MEDTECH OF NEVADA, LLC
Entity Type:Organization
Organization Name:HARVARD MEDTECH OF NEVADA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KULDURSHAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:PADDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-259-1810
Mailing Address - Street 1:6280 S VALLEY VIEW BLVD STE 412
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3892
Mailing Address - Country:US
Mailing Address - Phone:702-259-1810
Mailing Address - Fax:
Practice Address - Street 1:6280 S VALLEY VIEW BLVD STE 412
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3892
Practice Address - Country:US
Practice Address - Phone:702-259-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP01425332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies