Provider Demographics
NPI:1952596678
Name:OSEI HENRY MD PC
Entity Type:Organization
Organization Name:OSEI HENRY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-202-2233
Mailing Address - Street 1:PO BOX 750432
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89136-0432
Mailing Address - Country:US
Mailing Address - Phone:702-202-2233
Mailing Address - Fax:702-685-6738
Practice Address - Street 1:6850 N DURANGO DR STE 211
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4597
Practice Address - Country:US
Practice Address - Phone:702-202-2233
Practice Address - Fax:702-685-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV104848OtherMEDICARE PTAN
NV10167OtherSTATE LIC
NV2018710Medicaid