Active NPIOrganization

Culinary Extra Clinic

Internal Medicine in Las Vegas, Nevada

NPI Number1801295712
Practice location
1961 Las Vegas Blvd S Ste 101, Las Vegas, NV 89104-1310
Fax
—
Last updated
September 14, 2015

Culinary Extra Clinic is a healthcare organization based in Las Vegas, NV. Culinary Extra Clinic practices in Las Vegas, NV. The NPI Number for Culinary Extra Clinic is 1801295712. The current practice location address for Culinary Extra Clinic is 1961 Las Vegas Blvd S Ste 101, Las Vegas, NV 89104-1310 and can be reached out via phone at 702-852-0215.

Provider Profile Details

NPI Number
1801295712
Provider Name
Culinary Extra Clinic
Provider Entity Type
Organization
Address
1961 Las Vegas Blvd S Ste 101, Las Vegas, NV 89104-1310
Phone Number
702-852-0215
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Rushika Fernandopulle, MD · Ceo · 617-454-4672
Provider Enumeration Date
August 15, 2014
Last Update Date
September 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1961 Las Vegas Blvd S Ste 101
Las Vegas, NV 89104-1310
State
Nevada
Zip
89104-1310
Phone Number
702-852-0215
Las Vegas, NV 89104Get directions →

Provider Business Mailing Address Details

Address
101 Tremont St Fl 6
Boston, MA 02108-5004
City
Boston
State
MA
Zip
02108-5004
Phone Number
617-454-4672
Fax Number
617-701-7740

License Information

Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Culinary Extra Clinic?

The NPI number of Culinary Extra Clinic is 1801295712. It was assigned on August 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Culinary Extra Clinic?

Culinary Extra Clinic is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Culinary Extra Clinic practice?

The practice location is 1961 Las Vegas Blvd S Ste 101, Las Vegas, NV 89104-1310. The office can be reached at 702-852-0215 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801295712 directly on the NPPES registry website.

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