Individual
DR. SUDHIR S KHEMKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130
(702) 880-4193
(702) 880-4197
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130
(702) 880-4193
(702) 880-4197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13352
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
13352
NV
208VP0000X
Pain Medicine Physician
13352
NV
208VP0014X
Interventional Pain Medicine Physician
13352
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1579700
—
LA
05
—
191428501
—
TX
01
—
8AC776
BLUE CROSS BLUE SHIELD
TX
01
—
P00606653
MEDICARE RAILROAD
TX
Enumeration date
11/30/2006
Last updated
07/28/2020
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