| Dr Heraganahally Nagegowda Sundar Raj, MD | |
|
1221 N Decatur Blvd, Ste 5, Las Vegas, NV 89108-2497 | |
| (702) 785-3005 | |
| Not Available |
| Full Name | Dr Heraganahally Nagegowda Sundar Raj |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1221 N Decatur Blvd, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922306497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4121 (Nevada) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 4121 (Nevada) | Secondary |
| 208D00000X | General Practice | MD 4121 (Nevada) | Primary |
| Entity Name | Saint Marys Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538424239 PECOS PAC ID: 7618113523 Enrollment ID: O20130422000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heraganahally Nagegowda Sundar Raj, MD 6255 Sharlands Ave, Reno, NV 89523-2882 Ph: (775) 770-3000 | Dr Heraganahally Nagegowda Sundar Raj, MD 1221 N Decatur Blvd, Ste 5, Las Vegas, NV 89108-2497 Ph: (702) 785-3005 |
Dr. John Young Ko, DO General Practice Medicare: Medicare Enrolled Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-8436 | |
Mariya Atanasova Kolibarova, NP General Practice Medicare: Not Enrolled in Medicare Practice Location: 4617 Swaying Ferns Dr, Las Vegas, NV 89147 Phone: 970-393-0196 | |
Dr. Sebastian Balle, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6670 Palmyra Ave, Las Vegas, NV 89146 Phone: 702-871-2771 Fax: 702-424-4268 | |
Devin Bradshaw, DO General Practice Medicare: Medicare Enrolled Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-477-6572 | |
Dr. Christian Israel Garaycochea, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 322 Karen Ave, Unit 1207, Las Vegas, NV 89109 Phone: 801-368-0468 Fax: 801-880-3841 | |
Dr. Anneta N. Osuchukwu, General Practice Medicare: Medicare Enrolled Practice Location: 8280 W Warm Springs Rd, Las Vegas, NV 89113 Phone: 702-492-8237 | |
Dr. Davis Co Chu, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1219 E Charleston Blvd, Las Vegas, NV 89104 Phone: 702-633-5410 Fax: 702-320-1639 |