Organization
LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC
Active
Other names
Las Vegas Pain Institute and Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODWIN O MADUKA MD (MEDICAL DIRECTOR)
(702) 880-4193
Entity
Organization
Contact information
Practice address
3835 S JONES BLVD STE 104, LAS VEGAS, NV 89103-2283
(702) 880-4193
(702) 880-4197
Mailing address
4616 W SAHARA AVE # 337, LAS VEGAS, NV 89102-3654
(702) 880-4193
(702) 880-4197
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2000268 650
NV
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509710
—
NV
Enumeration date
12/11/2006
Last updated
10/22/2021
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