MEDICARE: SETH K ADJOVU, MD PC

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
1	207R00000X	Internal Medicine Physician	10335	NV
2	208000000X	Pediatrics Physician	10335	NV

General Provider Information

NPI Number	:	1124029715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SETH K ADJOVU, MD PC

Provider Business Mailing Address
First Line	:	1815 E LAKE MEAD BLVD
Second Line	:	SUITE 204
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-7187
Country	:	US
Telephone Number	:	702-798-1233
Fax Number	:	702-531-1233

Provider Business Practice Location Address
First Line	:	1815 E LAKE MEAD BLVD
Second Line	:	SUITE 204
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-7187
Country	:	US
Telephone Number	:	702-798-1233
Fax Number	:	702-531-1233

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	SETH K. ADJOVU
Credential	:	M. D.
Telephone Number	:	702-798-1233

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	09/11/2025

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