DR AJAY NELLUTLA INC (NPI# 1356596134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356596134 |
| Entity Type | Organization |
| Organization Name | DR AJAY NELLUTLA INC |
| Practice Address |
3201 S Maryland Pkwy Suite #100 Las Vegas NV 89109-2441 |
| Mailing Address |
File # 1304-1801 W.olympic Blvd Pasadena CA 91199-1304 |
| Practice Telephone | 7026498009 |
| Practice Fax Number | 7026498049 |
| Mailing Telephone | 7029380419 |
| Mailing Fax Number | 7029396954 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | AJAY K NELLUTLA (PRESIDENT) |
| Authorized Official Telephone | 7026498009 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
10766 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1356596134 | 05 |
| Street Address |
3201 S MARYLAND PKWY SUITE #100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538126 | Nicole R. Flora | Family Medicine | 3201 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109-2441 | 2005-06-16 |
| 1528607512 | Good Samaritan LLC | Clinic/Center | 3201 S Maryland Pkwy, Tower 1 Suite 314, Las Vegas, NV 89109-2425 | 2019-12-23 |
| 1245743509 | Destiny Broaden | Audiologist | 3201 S Maryland Pkwy, Las Vegas, NV 89109-2441 | 2017-11-08 |
| 1922556539 | Paul Taggart Manabat | Pharmacist | 3201 S Maryland Pkwy, #218, Las Vegas, NV 89109-2441 | 2016-09-13 |
| 1891242350 | Nocturna Sleep Center, LLC | Clinic/Center | 3201 S Maryland Pkwy, Suite 320, Las Vegas, NV 89109-2441 | 2016-09-01 |
| 1124409289 | Elzabeth Ann Lang | Nurse Practitioner | 3201 S Maryland Pkwy, Suite 608, Las Vegas, NV 89109-2441 | 2015-06-15 |
| 1043645930 | Aids Healthcare Foundation | Clinic/Center | 3201 S Maryland Pkwy, Suite 218, Las Vegas, NV 89109-2441 | 2013-09-10 |
| 1104113471 | Caroline Nguyen | Pediatrics | 3201 S Maryland Pkwy, Ste 608, Las Vegas, NV 89109-2441 | 2011-07-06 |
| 1134425820 | Cynthia Chase | Pediatrics | 3201 S Maryland Pkwy, Suite 608, Las Vegas, NV 89109-2441 | 2011-01-28 |
| 1972839231 | Ivan D Karabachev Md Chartered | Otolaryngology | 3201 S Maryland Pkwy, #500, Las Vegas, NV 89109-2441 | 2009-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1740766005 | Dr. Don Pepito, LLC | Internal Medicine | 9315 W Sunset Rd Ste 100, Las Vegas, NV 89148-5012 | 2018-07-19 |
| 1780139170 | J & Y Wellness Group Inc | Internal Medicine | 18 Moonfire Dr, Las Vegas, NV 89135-7800 | 2016-08-16 |
| 1265706238 | Touro University | Internal Medicine | 3985 S Pearl St, Regency Palms, Las Vegas, NV 89121-7205 | 2012-03-08 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1831498526 | Touro University | Internal Medicine | 3890 N. Buffalo Drive, Willow Creek Assisted Living Fac, Las Vegas, NV 89129-8809 | 2011-03-21 |
| 1477852168 | Touro University | Internal Medicine | 8720 W. Flamingo Road, Heritage Springs Senior Living, Las Vegas, NV 89147-8684 | 2011-03-21 |
| 1285933978 | Touro University | Internal Medicine | 9100 W. Desert Inn Ave., Aegis of Las Vegas, Las Vegas, NV 89117-6323 | 2011-03-21 |
| 1205135043 | Touro University | Internal Medicine | 3351 N. Buffalo Dr, Willow Creek Memory Care@buffalo, Las Vegas, NV 89129-6283 | 2011-03-18 |
| 1265731152 | Touro University | Internal Medicine | Willow Creek Al -san Martin, 8374 W. Capovilla Ave, Las Vegas, NV 89113-3305 | 2011-03-18 |
| 1871892885 | Touro University | Internal Medicine | 7230 Gagnier Blvd, Willow Creek Memory Care-san Martin, Las Vegas, NV 89113-4400 | 2011-03-17 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.