NPI 1851635783 · live from the CMS NPI Registry
Las Vegas Gastroenterology Associate LLC
Internal Medicine, Gastroenterology in Las Vegas, NV. National Provider Identifier 1851635783, active.
NPI record
| NPI | 1851635783 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3150 N Tenaya Way Ste 525, Las Vegas, NV 89128 |
| Practice phone | 702-641-4220 |
| Mailing address | 2700 Las Vegas Blvd S Unit 3201, Las Vegas, NV 89109 |
| Enumerated | November 15, 2012 |
| Last updated | March 15, 2013 |
| Authorized official | Adedayo Mokuolou, Managing Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.