Individual
VIKARAM GONDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
771 E HORIZON DR, HENDERSON, NV 89015-8405
(702) 948-1125
(702) 949-6203
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
207Q00000X
Family Medicine Physician
Primary
DO3228
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649829169
—
NV
01
—
DO3228
STATE LICENSE
NV
Enumeration date
09/06/2019
Last updated
02/01/2023
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