NPI 1699775684 · live from the CMS NPI Registry
Mahendra Defonseka, M.D.
Internal Medicine, Gastroenterology in Henderson, NV. National Provider Identifier 1699775684, active.
NPI record
| NPI | 1699775684 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2610 W Horizon Ridge Pkwy, Suite 105, Henderson, NV 89052 |
| Practice phone | 702-565-3037 |
| Mailing address | 8010 W Sahara Ave, Suite 235, Las Vegas, NV 89117 |
| Enumerated | July 30, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 3983 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.