Individual
MULUGETA D KASSAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1655 E CACTUS AVE STE 200, LAS VEGAS, NV 89183-7723
(702) 877-0814
(702) 877-3238
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-0814
(702) 877-3238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10930
NV
208800000X
Urology Physician
Primary
10930
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504813
—
NV
01
—
P00367483
RAILROAD MEDICARE PIN
—
Enumeration date
06/22/2006
Last updated
11/17/2025
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