Organization
AJEET MAHENDERNATH MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A LABRECQUE (ACCTS. MGRE)
(702) 453-3799
Entity
Organization
Contact information
Practice address
2505 ANTHEM VILLAGE DR STE E-603, HENDERSON, NV 89052-5505
(702) 453-3799
(702) 453-5741
Mailing address
2505 ANTHEM VILLAGE DR STE E-603, HENDERSON, NV 89052-5505
(702) 453-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9464
NV
Other
Enumeration date
08/05/2006
Last updated
05/08/2012
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