Individual
MAHENDRA DEFONSEKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2610 W HORIZON RIDGE PKWY, SUITE 105, HENDERSON, NV 89052-2869
(702) 565-3037
Mailing address
8010 W SAHARA AVE, SUITE 235, LAS VEGAS, NV 89117-7905
(702) 256-3637
(702) 256-3307
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3983
NV
Other
Enumeration date
07/30/2005
Last updated
07/08/2007
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