Organization
WELLS AVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDUR SIDDHANTH MAHADEVA M.D. (SOLE OWNER)
(775) 247-2917
Entity
Organization
Contact information
Practice address
1255 S WELLS AVE, RENO, NV 89502-2504
(775) 284-5004
(775) 313-0894
Mailing address
1255 S WELLS AVE, RENO, NV 89502-2504
(775) 284-5004
(775) 313-0894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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