KUTHURU DESERT PAIN MANAGEMENT, PC (NPI# 1912251646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912251646 |
| Entity Type | Organization |
| Organization Name | KUTHURU DESERT PAIN MANAGEMENT, PC |
| Other Organization Name | DESERT PAIN MANAGEMENT |
| Practice Address |
5701 W Charleston Blvd Suite 207 Las Vegas NV 89146-1217 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 7022408318 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | DR. MAHESH R. KUTHURU (PRESIDENT) |
| Authorized Official Telephone | 7022408318 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | KUTHURU DESERT PAIN MANAGEMENT, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Desert Pain Management | Doing Business As Name - Organization |
| Street Address |
5701 W CHARLESTON BLVD SUITE 207 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425179 | Keith B Mcdonald | Dentist | 5701 W Charleston Blvd, Ste 103, Las Vegas, NV 89146-1256 | 2005-05-23 |
| 1568702009 | Amy Robker | Physician Assistant | 5701 W Charleston Blvd, Ste 201, Las Vegas, NV 89146-1217 | 2013-02-20 |
| 1033423132 | Pb Lal Md A Professional Corporation | Surgery | 5701 W Charleston Blvd, Suite 102, Las Vegas, NV 89146-1217 | 2010-07-30 |
| 1538491964 | Nathan Ibe Ozobia Md Chartered | General Acute Care Hospital | 5701 W Charleston Blvd, Suite 105, Las Vegas, NV 89146-1217 | 2010-02-10 |
| 1144474685 | Kuthuru Desert Pain Management PC | Specialist | 5701 W Charleston Blvd, Suite 207, Las Vegas, NV 89146-1217 | 2008-11-11 |
| 1700938354 | Kristin M Sanderson | Specialist | 5701 W Charleston Blvd, Suite 201, Las Vegas, NV 89146-1217 | 2007-01-16 |
| 1568545572 | Nathan I Ozobia | Surgery | 5701 W Charleston Blvd, 104, Las Vegas, NV 89146-1217 | 2006-10-23 |
| 1245247071 | Michael D. Becker | Radiology | 5701 W Charleston Blvd, Las Vegas, NV 89146-1217 | 2006-08-02 |
| 1215918727 | Pratibha Bobby Lal | Surgery | 5701 W Charleston Blvd, Suite 207, Las Vegas, NV 89146-1217 | 2005-11-10 |
| 1730177007 | Asgar A Dudhbhai | Pediatrics | 5701 W Charleston Blvd, Ste 100, Las Vegas, NV 89146-1217 | 2005-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364920 | Vaccine Hippo, Inc. | Non-Pharmacy Dispensing Site | 10040 W Cheyenne Ave Ste 170-146, Las Vegas, NV 89129-7719 | 2019-03-08 |
| 1952829673 | Jonathan R. Sorelle, Md., Pllc | Non-Pharmacy Dispensing Site | 9080 W Post Rd # 200, Las Vegas, NV 89148-2419 | 2017-09-01 |
| 1437670122 | Harold Zilberman Md Chartered | Non-Pharmacy Dispensing Site | 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109-2428 | 2017-07-03 |
| 1558762120 | Wealthwise Inc | Non-Pharmacy Dispensing Site | 8493 Indigo Harbor Ave, Las Vegas, NV 89117-9166 | 2014-09-14 |
| 1275957136 | Pac Lp | Non-Pharmacy Dispensing Site | 9465 W Post Road, Suite 1068, Las Vegas, NV 89148-5786 | 2014-02-13 |
| 1831463041 | Glimpse of Vegas Inc. | Non-Pharmacy Dispensing Site | 5990 S Rainbow Blvd, Las Vegas, NV 89118-4205 | 2012-03-06 |
| 1962720078 | Charles H. Tadlock, M.d. Ltd | Non-Pharmacy Dispensing Site | 6725 S Eastern Ave Ste 6, Las Vegas, NV 89119-3949 | 2010-05-13 |
| 1457434789 | Larry Yee Md | Non-Pharmacy Dispensing Site | 7660 W Cheyenne Ave Ste 110, Las Vegas, NV 89129-6757 | 2006-10-23 |
| 1699786111 | J Marshall Anthony Do Jd Ltd | Non-Pharmacy Dispensing Site | 3100 E Charleston Blvd, Ste 109, Las Vegas, NV 89104-6665 | 2006-08-10 |
| 1285255786 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 653 N Town Center Dr Ste 512, Las Vegas, NV 89144-0519 | 2020-05-06 |
| 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.