Individual
POOJA MYSORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 W GALLERIA DR, HENDERSON, NV 89011-4800
(702) 963-7000
Mailing address
4471 DEAN MARTIN DR UNIT 3909, LAS VEGAS, NV 89103-4116
(631) 833-8616
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
100905
GA
207P00000X
Emergency Medicine Physician
100905
GA
207P00000X
Emergency Medicine Physician
Primary
27240
NV
2086S0102X
Surgical Critical Care Physician
100905
GA
Other
Enumeration date
04/18/2019
Last updated
01/28/2026
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