Provider Demographics
NPI:1598961849
Name:MANIPURA HARSHA MULCHANDANI MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:MANIPURA HARSHA MULCHANDANI MD A PROFESSIONAL CORPORATION
Other - Org Name:NEPHROLOGY ASSOCIATES OF NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARSHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MULCHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-202-3431
Mailing Address - Street 1:7000 SMOKE RANCH ROAD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-202-3431
Mailing Address - Fax:702-202-3455
Practice Address - Street 1:5945 S RAINBOW BOULEVARD
Practice Address - Street 2:SUITE 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118
Practice Address - Country:US
Practice Address - Phone:702-588-7077
Practice Address - Fax:702-588-7079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10286207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty