Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 14645 | NV |
N | 2086S0102X | Surgical Critical Care | 14645 | NV |
N | 2086S0127X | Trauma Surgeon | 14645 | NV |
N | 2086S0129X | Vascular Surgeon | 14645 | NV |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 14645 | NV |
NPI | 1063453918 |
---|---|
Provider Name | Dr. Ashraf I Osman |
First Address | Henderson, NV 89044-0235 |
Second Address | Las Vegas, NV 89109-6226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 08/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063453918 | (05) | NV |