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NPI Code Detail

MEDICARE: TUSHAR JADHAV

MEDICARE: TUSHAR JADHAV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner855568NV

General Provider Information

NPI Number : 1043158561
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUSHAR JADHAV
Provider Business Mailing Address
First Line : 1920 E SERENE AVE STE 50021009
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-3284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2775 S JONES BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5632
Country : US
Telephone Number : 702-685-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 06/01/2026

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Directions to “ TUSHAR JADHAV ” Practice Location

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