# OFFICIUM VUTHOORI MD PLLC

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

## Provider details

- **NPI number:** 1780564146
- **Authorized official:** SRINIVAS VUTHOORI MD (PRESIDENT)
- **Authorized official phone:** (760) 660-4790

## Contact information

- **Practice address:** 3061 S MARYLAND PKWY STE 202, LAS VEGAS, NV 89109-6227
- **Practice address phone:** (725) 777-1252
- **Mailing address:** 3061 S MARYLAND PKWY STE 202, LAS VEGAS, NV 89109-6227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2025
- **Last updated:** 09/05/2025