Organization
R MUTHAIAH MD PC
Active
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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