Individual
HIMA B. ILLINDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2035 VILLAGE CENTER CIR, SUITE 110, LAS VEGAS, NV 89134-6251
(702) 228-7117
(702) 804-5365
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
207R00000X
Internal Medicine Physician
Primary
10235
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10235
STATE LICENSE
NV
05
—
1083604102
—
NV
Enumeration date
10/28/2005
Last updated
10/18/2022
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