MEDICARE: MULUGETA D KASSAHUN M.D.

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	174400000X	Specialist	10930	NV
2	208800000X	Urology Physician	10930	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00367483	OTHER		RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922044395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MULUGETA D KASSAHUN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-877-0814
Fax Number	:	702-877-3238

Provider Business Practice Location Address
First Line	:	1655 E CACTUS AVE STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7723
Country	:	US
Telephone Number	:	702-877-0814
Fax Number	:	702-877-3238

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	11/17/2025

Similar Medicare Providers

1649251265 — DR. RICARDO Z VINUYA MD
Practice Location Address:

1655 E CACTUS AVE STE 210
LAS VEGAS, NV
89183-7723

Practice Phone: 702-724-8844
Practice Fax:

1598735599 — BARRY YVES BORNSTEIN PA
Practice Location Address:

1655 E CACTUS AVE STE 120
LAS VEGAS, NV
89183-7723

Practice Phone: 702-737-1880
Practice Fax: 702-737-5988

1306817598 — GRETCHEN JOY POHASKI PA C
Practice Location Address:

1655 E CACTUS AVE STE 120
LAS VEGAS, NV
89183-7723

Practice Phone: 702-561-8600
Practice Fax:

1164436994 — MARK DAY DO
Practice Location Address:

1655 E CACTUS AVE STE 400
LAS VEGAS, NV
89183-7723

Practice Phone: 702-724-8777
Practice Fax: 702-724-8749

1639278542 — FRED H FRANCIS II MD
Practice Location Address:

1655 E CACTUS AVE STE 100
LAS VEGAS, NV
89183-7723

Practice Phone: 702-463-9100
Practice Fax:

1962585745 — JOHN ALLAN ELLERTON MD, CM
Practice Location Address:

1655 E CACTUS AVE STE 300
LAS VEGAS, NV
89183-7723

Practice Phone: 702-724-8777
Practice Fax: 702-352-2790

Directions to “ MULUGETA D KASSAHUN M.D.” 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.