Individual provider · Type 1 NPI

Heraganahally Nagegowda Sundar Raj, MD

General Practice Physician · Las Vegas, NV

NPI number 1922306497 Active

Practice location

1221 N Decatur Blvd, Ste 5
Las Vegas, NV 89108-2497

Call (702) 785-3005 Map

Mailing address

6255 Sharlands Ave
Reno, NV 89523-2882

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4121 (NV)
Adult Medicine Physician 207QA0505X4121 (NV)
General Practice Physician Primary 208D00000XMD 4121 (NV)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1922306497

Heraganahally Nagegowda Sundar Raj, MD's National Provider Identifier is 1922306497, issued on Mar 8, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 4, 2024.