Individual
AJAY K. NELLUTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 E DESERT INN RD STE 301, LAS VEGAS, NV 89169
(702) 649-8009
(702) 649-8049
Mailing address
1700 E DESERT INN RD STE 301, LAS VEGAS, NV 89169-3207
(702) 649-8009
(702) 649-8049
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
10766
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407913718
—
NV
Enumeration date
01/03/2007
Last updated
06/11/2018
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