Ajeet Mahendernath Md A Professional Corporation | |
2505 Anthem Village Dr Ste E-603 Henderson NV 89052-5505 | |
(702) 453-3799 | |
(702) 453-5741 |
Full Name | Ajeet Mahendernath Md A Professional Corporation |
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Speciality | Family Medicine |
Location | 2505 Anthem Village Dr Ste E-603, Henderson, Nevada |
Authorized Official Name and Position | Lori A Labrecque (ACCTS. MGRE) |
Authorized Official Contact | 7024533799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ajeet Mahendernath Md A Professional Corporation 2505 Anthem Village Dr Ste E-603 Henderson NV 89052-5505 Ph: (702) 453-3799 | Ajeet Mahendernath Md A Professional Corporation 2505 Anthem Village Dr Ste E-603 Henderson NV 89052-5505 Ph: (702) 453-3799 |
NPI Number | 1487663795 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 05/08/2012 |
Medicare PECOS PAC ID | 8426066762 |
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Medicare Enrollment ID | O20060329000250 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487663795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9464 (Nevada) | Primary |
Provider Name | Ajeet Mahendernath |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073522371 PECOS PAC ID: 6507872777 Enrollment ID: I20060224000356 |
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