Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRITA TANDYASRAYA, M.D.
ActivePRITA TANDYASRAYA, M.D. is a Neurology healthcare provider located in NELLIS AFB, Nevada. NPI 1144754979 is currently active in the NPPES registry. Verify at CMS.
Neurology · NELLIS AFB, NV
Registration Details
- NPI Number
- 1144754979
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2017 (9.3416278484614 yrs)
- Last Updated
- Nov 3, 2023
- Licenses
-
ME165558 (FL)R76053 (AZ)
Practice Information
- Address
-
4700 LAS VEGAS BLVD NNELLIS AFB, NV, 891916600Browse NV providers · Browse ZIP 89191
- Phone
- 7026533244
- Fax
- 7026532378
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
Other Neurology Providers in NELLIS AFB, NV
| Name | Credential | NPI |
|---|---|---|
| NAVDEEP DHALIWAL | M.D. | 1346322294 |
| PHILIPPINE D PERALTA | MD | 1962842419 |
| MICHAEL R HOSSACK | M.D. | 1104246370 |
| DR. JEANNA DEL VECCHIO WEST-MILES | D.O. | 1629458740 |
| SOUKAINA NOOR | MD | 1003441569 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.