# INFECTIOUS DISEASE DOCTORS OF NEVADA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659478527
- **Authorized official:** SUDHAKAR V. MALLELA M.D. (PRESIDENT)
- **Authorized official phone:** (702) 878-3235

## Contact information

- **Practice address:** 4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
- **Practice address phone:** (951) 788-3000
- **Mailing address:** 3022 S DURANGO DR, SUITE 100, LAS VEGAS, NV 89117-4439
- **Mailing address phone:** (702) 256-3637
- **Mailing address fax:** (702) 256-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 9640 | NV | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/20/2016