Individual
MADHU DEWAN KHATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10085 DOUBLE R BLVD STE 310, RENO, NV 89521-4832
(775) 982-7260
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-7268
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
847314
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15593440
CAQH
NV
01
—
857314
APRN
—
Enumeration date
05/28/2022
Last updated
11/22/2022
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