Individual
MUSSIE MAHDEREKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6070 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5615
(702) 803-5534
Mailing address
6070 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5615
(702) 803-5534
(702) 616-9681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2728
NV
Other
Enumeration date
04/14/2017
Last updated
11/28/2023
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