Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Renganaden Sooppan, MD

Individual provider Surgery Physician · NPI 1356632491

Dr. Renganaden Sooppan, MD is a Vascular Surgery in Las Vegas, Nevada. Graduated from State University of Ny Upstate Medical University in 2011, 15 years ago. Practices with Naz Wahab MD PC, an 18-clinician group and accepts Medicare assignment. Licensed in Nevada and Pennsylvania.

Years since qualifying
15
Trained at
State University of Ny Upstate Medical University
Licensed in
NV, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone: (702) 803-5534
Fax: (888) 977-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 26467 (NV)
Surgery Physician Taxonomy 208600000X · Licence MD449590 (PA)

Record details

NPI number1356632491
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2011
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Naz Wahab Md Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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