Basic Information
Provider Information
NPI: 1558627885
EntityType: 2
ReplacementNPI:  
OrganizationName: GERIATRIC SOLUTIONS LLC
LastName:  
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Mailing Information
Address1: PO BOX 230134
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891050134
CountryCode: US
TelephoneNumber: 7024078241
FaxNumber: 7024921728
Practice Location
Address1: 4680 POLARIS AVE STE 200
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891035600
CountryCode: US
TelephoneNumber: 7029096400
FaxNumber: 7023334776
Other Information
ProviderEnumerationDate: 04/11/2012
LastUpdateDate: 11/25/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: SINGH
AuthorizedOfficialFirstName: UPINDER
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7024078241
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 11/25/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0002X NVN193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
207RG0300X NVY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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