Vergara, Gaston R

Vergara, Gaston R is an individual health care provider with primary practice located at 700 Shadow Ln Suite 240, Las Vegas NV 89106-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Vergara, Gaston R can be contacted via phone (702) 384-0022.

Contact Information

Primary practice address
700 Shadow Ln Suite 240 Las Vegas NV 89106-4158
Phone: (702) 384-0022
Fax: (702) 384-0529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14055 Nevada
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 14055 Nevada

Profile Details

NPI number 1447347208
LBN Legal business name Vergara, Gaston R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Sep 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447347208 NPPES
Nevada MEDICAID 100523913

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