Individual
DR. PAVAN R LUCKOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3041 E FLAMINGO RD STE A, LAS VEGAS, NV 89121-7447
(562) 677-2414
(562) 677-4479
Mailing address
3041 E FLAMINGO RD, STE A, LAS VEGAS, NV 89121-7447
(702) 436-0835
(702) 435-6212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19651
NV
Other
Enumeration date
08/04/2015
Last updated
01/29/2021
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