Ezhuthachan, Rutu S

Ezhuthachan, Rutu S is an individual health care provider with primary practice located at 4475 S Eastern Ave , Las Vegas NV 89119-7826. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ezhuthachan, Rutu S can be contacted via phone (702) 737-1880.

Contact Information

Primary practice address
4475 S Eastern Ave Las Vegas NV 89119-7826
Phone: (702) 737-1880
Fax: (702) 259-4634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10466 Nevada

Profile Details

NPI number 1730159815
LBN Legal business name Ezhuthachan, Rutu S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730159815 NPPES
Nevada MEDICAID 2018853
Nevada MEDICAID 3102853
Nevada MEDICAID 1730159815

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