Basic Information
| Provider Information | |||||||||
| NPI: | 1942366646 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OASIS MEDICAL ASSOCIATES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 98820 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891938820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029147150 | ||||||||
| FaxNumber: | 7029141924 | ||||||||
| Practice Location | |||||||||
| Address1: | 10410 S EASTERN AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890524195 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029147150 | ||||||||
| FaxNumber: | 7029141924 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2006 | ||||||||
| LastUpdateDate: | 06/26/2013 | ||||||||
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| AuthorizedOfficialLastName: | RAHMAN | ||||||||
| AuthorizedOfficialFirstName: | SYED | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7022509146 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 10660 | NV | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 207R00000X | 10030 | NV | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.