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KUTHURU DESERT PAIN MANAGEMENT PC NPI 1144474685


NPI Information

NPI: 1144474685
Provider Name: KUTHURU DESERT PAIN MANAGEMENT PC

Doing Business As: DESERT PAIN MANAGEMENT

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5701 W CHARLESTON BLVD
SUITE 207
LAS VEGAS, NV
ZIP 89146
Phone: (702) 240-8318
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KUTHURU DESERT PAIN MANAGEMENT PC is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KUTHURU DESERT PAIN MANAGEMENT PC NPI is 1144474685. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Desert Pain Management.

The provider's business location address is:

5701 W CHARLESTON BLVD
SUITE 207
LAS VEGAS, NV
ZIP 89146-217
Phone: (702) 240-8318
Fax: (702) 240-8331

The provider's authorized official is Mahesh Reddy Kuthuru .
The authorized official title is President and has the following contact phone number (702) 371-6173.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 3/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist1201NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16653870001MEDICARE NSCNEVADA
21770534745OTHERNEW YORKPERSONAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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