Individual
GNANESWER BILLAKANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 207-8263
(702) 487-7113
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 207-8263
(702) 487-7113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10043
NV
208M00000X
Hospitalist Physician
10043
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922180295
—
NV
Enumeration date
10/20/2006
Last updated
10/30/2024
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