Organization
MAHADEVA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCOUNTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 34028, RENO, NV 89533-4028
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
13648
NV
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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