Individual
DR. VENUGOPAL BOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1294 S JONES BLVD, SUITE 12, LAS VEGAS, NV 89146
(702) 877-1887
(702) 877-4536
Mailing address
1294 S JONES BLVD, SUITE 12, LAS VEGAS, NV 89146
(702) 877-1887
(702) 877-4536
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11677
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508284
—
NV
Enumeration date
11/17/2005
Last updated
01/26/2024
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