Basic Information
Provider Information
NPI: 1043297732
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SARAIYA
FirstName: UDAY
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3970 ROYAL VIKING WAY
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891214108
CountryCode: US
TelephoneNumber: 7022563637
FaxNumber: 7022563307
Practice Location
Address1: 2121 E FLAMINGO RD
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891195124
CountryCode: US
TelephoneNumber: 7023864700
FaxNumber: 7023864701
Other Information
ProviderEnumerationDate: 12/23/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X6237NVY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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