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NPI Code Detail

MEDICARE: ORTHOPAEDIC SPECIALISTS OF NEVADA

MEDICARE: ORTHOPAEDIC SPECIALISTS OF NEVADA
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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1972771723
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPAEDIC SPECIALISTS OF NEVADA
Provider Business Mailing Address
First Line : 701 S TONOPAH DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4030
Country : US
Telephone Number : 702-388-1008
Fax Number : 702-388-1841
Provider Business Practice Location Address
First Line : 2020 PALOMINO LN
Second Line : SUITE 220
City : LAS VEGAS
State : NV
Zip : 89106-4812
Country : US
Telephone Number : 702-474-7200
Fax Number : 702-474-0009
Authorized Official
Title or Position : SENIOR PARTNER
Name : DR. DONALD MACKAY
Credential : M.D.
Telephone Number : 702-388-1008
Provider Enumeration Date : 02/14/2008
Last Update Date : 02/29/2008

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1659408896 — DR. LAVANYA VUDDAGIRI MD
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Directions to “ORTHOPAEDIC SPECIALISTS OF NEVADA ” Practice Location

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