Provider Demographics
NPI:1831424795
Name:LAS VEGAS SURGICAL ASSOCIATES LLP
Entity type:Organization
Organization Name:LAS VEGAS SURGICAL ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LUH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-290-2003
Mailing Address - Street 1:9811 W CHARLESTON BLVD
Mailing Address - Street 2:STE 2640
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7528
Mailing Address - Country:US
Mailing Address - Phone:702-290-2003
Mailing Address - Fax:
Practice Address - Street 1:8930 W SUNSET RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4900
Practice Address - Country:US
Practice Address - Phone:702-290-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty