| Infectious Disease Doctors Of Nevada Llc | |
|
4445 Magnolia Ave Riverside CA 92501-4135 | |
| (951) 788-3000 | |
| Not Available |
| Full Name | Infectious Disease Doctors Of Nevada Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4445 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Sudhakar V. Mallela (PRESIDENT) |
| Authorized Official Contact | 7028783235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Doctors Of Nevada Llc 3022 S Durango Dr Suite 100 Las Vegas NV 89117-4439 Ph: (702) 256-3637 | Infectious Disease Doctors Of Nevada Llc 4445 Magnolia Ave Riverside CA 92501-4135 Ph: (951) 788-3000 |
| NPI Number | 1659478527 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659478527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 9640 (Nevada) | Primary |
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