Organization
EJO MANNAPARAMBIL JOHN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJO JOHN (PRESIDENT)
(773) 709-7530
Entity
Organization
Contact information
Practice address
3217 GRAYSON LAKE CT, LAS VEGAS, NV 89129-6614
(773) 709-7530
Mailing address
3217 GRAYSON LAKE CT, LAS VEGAS, NV 89129-6614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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