Provider Demographics
NPI:1316180771
Name:RAJA S MEHDI MD PLLC
Entity Type:Organization
Organization Name:RAJA S MEHDI MD PLLC
Other - Org Name:HOPE CANCER CARE OF NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MEHDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-508-9128
Mailing Address - Street 1:6827 W TROPICANA AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4920
Mailing Address - Country:US
Mailing Address - Phone:702-508-9128
Mailing Address - Fax:702-302-4125
Practice Address - Street 1:6827 W TROPICANA AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4920
Practice Address - Country:US
Practice Address - Phone:702-508-9128
Practice Address - Fax:702-302-4125
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAJA S MEHDI MD PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12720207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty