Individual
DR. ANIL FOTEDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SHADOW LN, SUITE 240, LAS VEGAS, NV 89106-4158
(702) 384-0022
(702) 384-1937
Mailing address
700 SHADOW LN, SUITE 240, LAS VEGAS, NV 89106-4158
(702) 384-0022
(702) 384-1937
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9508
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018668
—
NV
05
—
2018668
—
NV
Enumeration date
10/19/2005
Last updated
03/23/2011
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