Individual
DHEERESH KUMAR MAMIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8350 BADURA AVE FL 2, LAS VEGAS, NV 89113-2383
(702) 435-5437
(702) 851-9640
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12531
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12531
LICENSE
NV
05
—
1518161181
—
NV
Enumeration date
06/14/2007
Last updated
04/20/2026
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