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DR AJAY NELLUTLA INC NPI 1356596134


NPI Information

NPI: 1356596134
Provider Name: DR AJAY NELLUTLA INC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3201 S MARYLAND PKWY
SUITE #100
LAS VEGAS, NV
ZIP 89109
Phone: (702) 649-8009
Get Directions

DR AJAY NELLUTLA INC is a geriatric medicine internal medicine in Las Vegas, NV. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR AJAY NELLUTLA INC NPI is 1356596134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3201 S MARYLAND PKWY
SUITE #100
LAS VEGAS, NV
ZIP 89109-441
Phone: (702) 649-8009
Fax: (702) 649-8049

The provider's authorized official is Ajay K Nellutla .
The authorized official title is President and has the following contact phone number (702) 649-8009.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 9/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine10766NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356596134MEDICAIDNEVADA
2BM067AMEDICARE PINNEVADA
3I03609MEDICARE UPINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.