Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | Q9522 | TX |
NPI | 1013278316 |
---|---|
Provider Name | Dr. Manpreet Sran |
First Address | Las Vegas, NV 89117-7053 |
Second Address | Las Vegas, NV 89183-7950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 30/04/2019 |