Individual
BRANAVAN UMAKANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3150 N TENAYA WAY, SUITE #320, LAS VEGAS, NV 89128-0443
(702) 240-6482
(702) 804-0957
Mailing address
700 E SILVERADO RANCH BLVD, SUITE #170, LAS VEGAS, NV 89183-7516
(702) 240-6482
(702) 804-0957
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D01407
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649359043
—
NV
Enumeration date
11/04/2006
Last updated
01/09/2015
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