Nellutla, Ajay K.

Nellutla, Ajay K. is an individual health care provider with primary practice located at 1700 E Desert Inn Rd Ste 301 , Las Vegas NV 89169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Nellutla, Ajay K. can be contacted via phone (702) 649-8009.

Contact Information

Primary practice address
1700 E Desert Inn Rd Ste 301 Las Vegas NV 89169
Phone: (702) 649-8009
Fax: (702) 649-8049
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1407913718
LBN Legal business name Nellutla, Ajay K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jun 11th, 2018 - about 8 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 1407913718 NPPES
Nevada MEDICAID 1407913718

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