Dr Ajay Nellutla Inc

LBN: Dr Ajay Nellutla Inc
Dr Ajay Nellutla Inc is an health care organization with primary practice located at 3201 S Maryland Pkwy Suite #100, Las Vegas NV 89109-2441. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Dr Ajay Nellutla Inc can be contacted via phone (702) 649-8009, or through Nellutla, Ajay K via phone (702) 649-8009.

Contact Information

Primary practice address
3201 S Maryland Pkwy Suite #100 Las Vegas NV 89109-2441
Phone: (702) 649-8009
Fax: (702) 649-8049
Website:
Map and Directions
Authorized official contact:
Name: Nellutla, Ajay K Doctor of Medicine (MD)
Phone: (702) 649-8009

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 10766 Nevada

Profile Details

NPI number 1356596134
LBN Legal business name Dr Ajay Nellutla Inc
DBA Doing business as
Authorized official Nellutla, Ajay K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2008
Last updated Sep 28th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356596134 NPPES
Nevada MEDICAID 1356596134

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