Ajeet Mahendernath MD A Professional Corporation
Family Medicine in Henderson, NV. Organization (NPI-2).
NPI number1487663795
StatusActive
Last updated in NPPESMay 8, 2012
Details
- NPI
- 1487663795
- Entity type
- Organization (NPI-2)
- Legal business name
- Ajeet Mahendernath MD A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- May 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 9464 | NV | Yes |
Practice location
2505 Anthem Village Dr Ste E-603Henderson, NV 89052-5505
Phone 702-453-3799 · Fax 702-453-5741
Mailing address
2505 Anthem Village Dr Ste E-603Henderson, NV 89052-5505
Phone 702-453-3799
Authorized official
Lori A Labrecque
Accts. Mgre
7024533799
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