| Medical Associates Of Southern Nevada | |
|
9975 S Eastern Ave 110a Las Vegas NV 89183-7949 | |
| (702) 492-7208 | |
| (702) 407-5645 |
| Full Name | Medical Associates Of Southern Nevada |
|---|---|
| Speciality | General Practice |
| Location | 9975 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Govind Venkata Koka (PRESIDENT) |
| Authorized Official Contact | 7024927208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Southern Nevada Po Box 778195 Henderson NV 89077-8195 Ph: (702) 492-7208 | Medical Associates Of Southern Nevada 9975 S Eastern Ave 110a Las Vegas NV 89183-7949 Ph: (702) 492-7208 |
| NPI Number | 1023318177 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023318177 | NPI | - | NPPES |
| NV1001 | Other | NV | DO LICENSE NV1001 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1001 (Nevada) | Primary |
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