Mussie Mahderekal, DO

NPI #1992239164 in Las Vegas, Nevada

Provider Information

NPI Number: 1992239164
Entity Type: Individual
Name: Mussie Mahderekal, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Apr 14, 2017
Last Updated: Nov 28, 2023

Practice Location

Address: 6070 S FORT APACHE RD STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89148-5615
Phone: (702) 803-5534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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