Provider Demographics
NPI:1538314661
Name:CARULLO, RALPH LUIGI (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:LUIGI
Last Name:CARULLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7580 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2742
Mailing Address - Country:US
Mailing Address - Phone:702-852-2020
Mailing Address - Fax:702-821-1704
Practice Address - Street 1:7580 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2742
Practice Address - Country:US
Practice Address - Phone:702-852-2020
Practice Address - Fax:702-821-1704
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13661207Q00000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine