Individual
MAHESH REDDY KUTHURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5701 WEST CHARLESTON BOULEVARD, SUITE 207, LAS VEGAS, NV 89146-0000
(702) 240-8318
(702) 240-8331
Mailing address
5701 WEST CHARLESTON BOULEVARD, SUITE 207, LAS VEGAS, NV 89146-0000
(702) 240-8318
(702) 240-8331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
215662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02040260
—
NY
Enumeration date
05/15/2006
Last updated
12/02/2011
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