institution
Rd Prabhu-lata K Shete Mds Ltd
Multi-Specialty Clinic/Center in Las Vegas, Nevada
NPI 1912995309

Rd Prabhu-lata K Shete Mds Ltd is a Multi-Specialty Clinic/Center based in Las Vegas, NV and is specialized in Multi-Specialty. Rd Prabhu-lata K Shete Mds Ltd practices in Las Vegas, NV. The NPI Number for Rd Prabhu-lata K Shete Mds Ltd is 1912995309 and holds a License No. (Nevada).

The current practice location address for Rd Prabhu-lata K Shete Mds Ltd is 5701 W Charleston Blvd, Las Vegas, NV and can be reached out via phone at 702-877-9514 and via fax at 702-877-0399.

Location: 5701 W Charleston Blvd, Las Vegas, NV, 89146-1217
institution
Provider Profile Details
NPI Number
1912995309
Provider Name
Rd Prabhu-lata K Shete Mds Ltd
Credential
Provider Entity Type
Organization
Address
5701 W Charleston Blvd, Las Vegas, NV, 89146-1217
Phone Number
702-877-9514
Fax Number
702-877-0399
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100506357 05 NV
XGG00737 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
5701 W Charleston Blvd
City
State
Zip
89146-1217
Phone Number
702-877-9514
Fax Number
702-877-0399
person
Provider Business Mailing Address Details
Address
5701 W Charleston Blvd
City
State
Zip
89146-1217
Phone Number
702-877-9514
Fax Number
702-877-0399
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
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Definition
Definition to come...
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