Mahendra Defonseka, Md, Chtd

LBN: Mahendra Defonseka, Md, Chtd
Mahendra Defonseka, Md, Chtd is an health care organization with primary practice located at 98 E Lake Mead Pkwy Suite 302, Henderson NV 89015-5540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Mahendra Defonseka, Md, Chtd can be contacted via phone (702) 565-3037, or through Defonseka, Mahendra via phone (702) 565-3037.

Contact Information

Primary practice address
98 E Lake Mead Pkwy Suite 302 Henderson NV 89015-5540
Phone: (702) 565-3037
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Defonseka, Mahendra Doctor of Medicine (MD)
Phone: (702) 565-3037

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X NV3983 Nevada

Profile Details

NPI number 1700838042
LBN Legal business name Mahendra Defonseka, Md, Chtd
DBA Doing business as
Authorized official Defonseka, Mahendra Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Mar 5th, 2014 - about 12 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 1700838042 NPPES
Nevada MEDICAID 002002520
Nevada Other NV3383

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