Organization
KUTHURU DESERT PAIN MANAGEMENT PC
Active
Other names
Desert Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH REDDY KUTHURU MD (PRESIDENT)
(702) 371-6173
Entity
Organization
Contact information
Practice address
5701 W CHARLESTON BLVD, SUITE 207, LAS VEGAS, NV 89146-1217
(702) 240-8318
(702) 240-8331
Mailing address
5701 W CHARLESTON BLVD, SUITE 207, LAS VEGAS, NV 89146-1217
(702) 240-8318
(702) 240-8331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1201
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770534745
PERSONAL NPI
NY
Enumeration date
11/11/2008
Last updated
03/30/2012
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