Individual
JUDE POKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 S RAINBOW BLVD STE A, LAS VEGAS, NV 89145
(702) 952-9171
(702) 952-9136
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19315
NV
207R00000X
Internal Medicine Physician
2023039360
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205215415
—
NV
01
—
19315
STATE LICENSE
NV
Enumeration date
05/20/2015
Last updated
12/29/2023
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