Individual
KOMAL DHANOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2580C TEDDY DRIVE, LAS VEGAS, NV 89102
(702) 968-3270
(702) 949-6202
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21471
NV
207Q00000X
Family Medicine Physician
4301110764
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013369123
—
NV
01
—
21471
STATE LICENSE
NV
Enumeration date
07/13/2016
Last updated
05/02/2024
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