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Individual

DR. ALEXANDER KEERTHI MYLAVARAPU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 KIRMAN AVE STE L1, RENO, NV 89502-1339
(775) 982-2828
(775) 982-2834
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.067767
IL
207R00000X
Internal Medicine Physician
Primary
17983
NV
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
17983
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17983
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
Enumeration date
06/22/2015
Last updated
01/03/2019
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