Provider Demographics
NPI:1275773020
Name:NALINI VELAYUDHAN
Entity Type:Organization
Organization Name:NALINI VELAYUDHAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FALVO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:702-294-1919
Mailing Address - Street 1:1297 NEVADA HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-1853
Mailing Address - Country:US
Mailing Address - Phone:702-294-1919
Mailing Address - Fax:702-294-0072
Practice Address - Street 1:1297 NEVADA HWY
Practice Address - Street 2:SUITE A
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-1853
Practice Address - Country:US
Practice Address - Phone:702-294-1919
Practice Address - Fax:702-294-0072
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOULDER MEDICAL CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty