Individual
VIVEK PAMULAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(702) 671-5150
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-7118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.072224
IL
208600000X
Surgery Physician
Primary
24044
NV
2086S0129X
Vascular Surgery Physician
MT211309
PA
Other
Enumeration date
06/20/2016
Last updated
05/02/2024
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