| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 05/08/2012 |
| Medicare PECOS PAC ID | 8426066762 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073522371 PECOS PAC ID: 6507872777 Enrollment ID: I20060224000356 |
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