Mahendra Defonseka, Md, Chtd

NPI #1700838042 in Henderson, Nevada

Provider Information

NPI Number
1700838042
Entity Type
Organization
Organization Name
Mahendra Defonseka, Md, Chtd
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
May 16, 2006
Last Updated
Mar 5, 2014

Practice Location

Address
98 E LAKE MEAD PKWY
Address 2
SUITE 302
State
Nevada
ZIP Code
89015-5540
Phone
(702) 565-3037

Authorized Official

Name
MAHENDRA DEFONSEKA, M.D.
Title
OWNER
Phone
(702) 565-3037

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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