NPI 1114961539
Randa Bascharon,d.O. INC
Practice location
- Address
- 7281 W Sahara Ave Suite 110, Las Vegas, NV 89117-2816
- Phone
- (702) 947-7790
- Fax
- (702) 947-7792
- Mailing address
- 4132 S Rainbow Blvd #393, Las Vegas, NV 89103-3106
Authorised official
- Name
- Randa Amin Bascharon
- Title
- Pres, Sec,
- Phone
- (702) 596-0036
Registered specialties (4)
Orthopaedic Surgery Physician
Primary
Orthopaedic Surgery Physician
Sports Medicine (Orthopaedic Surgery) Physician
Sports Medicine (Orthopaedic Surgery) Physician
Registry record
- NPI
- 1114961539
- Entity type
- Organization
- NPI issued
- 15 Jun 2006
- Record last updated
- 3 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.