Individual
MANAS AGASTYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102-2353
(702) 671-2345
Mailing address
1701 W CHARLESTON BLVD STE 110, LAS VEGAS, NV 89102-2319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17194
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629495759
—
NV
Enumeration date
03/26/2014
Last updated
06/16/2018
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