NPI 1023318177

Medical Associates of Southern Nevada

Organisation General Practice Physician Las Vegas, NV

Practice location

Address: 9975 S Eastern Ave 110a, Las Vegas, NV 89183-7949
Phone: (702) 492-7208
Fax: (702) 407-5645
Mailing address: PO Box 778195, Henderson, NV 89077-8195

Authorised official

Name: Govind Venkata Koka
Title: President
Phone: (702) 492-7208

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1001 (NV)

Other General Practice providers in Nevada →

Registry record

NPI: 1023318177
Entity type: Organization
NPI issued: 22 Oct 2010
Record last updated: 22 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.