MEDICARE: DR. SURESH GOPALAKRISHNA PRABHU MD

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	9867	NV

General Provider Information

NPI Number	:	1730111436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SURESH GOPALAKRISHNA PRABHU MD

Provider Business Mailing Address
First Line	:	7100 SMOKE RANCH RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8383
Country	:	US
Telephone Number	:	702-545-0751
Fax Number	:	702-818-4817

Provider Business Practice Location Address
First Line	:	7100 SMOKE RANCH RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8383
Country	:	US
Telephone Number	:	702-545-0751
Fax Number	:	702-818-4817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	09/04/2023

Similar Medicare Providers

1831044650 — MS. KANITTHA THANANGAMSUWAN
Practice Location Address:

5615 CORIUM CT
LAS VEGAS, NV
89122-8383

Practice Phone: 702-461-0385
Practice Fax:

1851223309 — AARON QUIAMZON NP
Practice Location Address:

2625 BOX CANYON DR
LAS VEGAS, NV
89128-0450

Practice Phone: 702-360-6100
Practice Fax: 702-360-8096

1598481541 — PURE HEALTHCARE OF NEVADA LLC
Practice Location Address:

7201 W LAKE MEAD BLVD STE 112
LAS VEGAS, NV
89128-8362

Practice Phone: 702-703-5160
Practice Fax: 801-327-0211

1801728704 — SOPHEAR PHOEUK
Practice Location Address:

2211 N RAMPART BLVD
LAS VEGAS, NV
89128-7640

Practice Phone: 702-256-1984
Practice Fax:

1013885797 — MARCHELA CAMILE MUNDELL
Practice Location Address:

7201 W LAKE MEAD BLVD STE 112
LAS VEGAS, NV
89128-8362

Practice Phone: 702-703-5160
Practice Fax:

1497625685 — PRADEEPTA MAMIDI
Practice Location Address:

2500 N TENAYA WAY
LAS VEGAS, NV
89128-0482

Practice Phone: 832-869-4818
Practice Fax:

Directions to “ DR. SURESH GOPALAKRISHNA PRABHU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.