Mahendra Defonseka, Md, Chtd in Las Vegas - Gastroenterology
Mahendra Defonseka, Md, Chtd - NPI 1700838042
Mahendra Defonseka, Md, Chtd is a Gastroenterology in Las Vegas, Nevada. Mahendra Defonseka, Md, Chtd practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mahendra Defonseka, Md, Chtd is 1700838042. The last update date is 2014-03-05.
Mahendra Defonseka, Md, Chtd's current location address is 3022 S Durango Dr, Las Vegas, Nevada. You can contact this provider via phone number 7029672352 and fax number 7029672354. The mailing address for Mahendra Defonseka, Md, Chtd is 3022 S Durango Dr, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mahendra Defonseka, Md, Chtd |
|---|---|
| Address | 3022 S Durango Dr, Las Vegas, Nevada |
| Phone Number | 7029672352 |
| Fax Number | 7029672354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Defonseka Mahendra |
| Credentials | M.D. |
| Telephone Number | 7025653037 |
NPI Number Detail
| NPI Number | 1700838042 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2014-03-05 |
Provider Mailing Address Detail
| Address | 3022 S Durango Dr |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891174439 |
| Phone Number | 7029672352 |
| Fax Number | 7029672354 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | NV3983 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2002520 | NV | -- | |
| NV3383 | BCBS |
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What is the Mahendra Defonseka, Md, Chtd's 1700838042?
The Mahendra Defonseka, Md, Chtd's NPI (National Provider Identifier) Number is 1700838042. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mahendra Defonseka, Md, Chtd located?
The Mahendra Defonseka, Md, Chtd is located at 3022 S Durango Dr, Las Vegas, NV 891174439.
What is Mahendra Defonseka, Md, Chtd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mahendra Defonseka, Md, Chtd is Gastroenterology, and the taxonomy code that categorizes this field of expertise is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700838042 to Mahendra Defonseka, Md, Chtd?
The Centers for Medicare & Medicaid Services originally issued the 1700838042 to Mahendra Defonseka, Md, Chtd on 2006-05-16.
As of what date was the information pertaining to Mahendra Defonseka, Md, Chtd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mahendra Defonseka, Md, Chtd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-05.