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Organization

R MUTHAIAH MD PC

Active
Other names
CANYON MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
RAMANATHAN MUTHAIAH MD (OWNER)
(702) 220-8001
Entity
Organization

Contact information

Practice address
5061 N RAINBOW BLVD STE 180, LAS VEGAS, NV 89130-1689
(702) 220-8001
(702) 395-4500
Mailing address
5061 N RAINBOW BLVD STE 180, LAS VEGAS, NV 89130-1689
(702) 220-8001
(702) 395-4500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363AM0700X
Medical Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
01/17/2007
Last updated
04/25/2011
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