| Organization Name: | MEDICAL ASSOCIATES OF SOUTHERN NEVADA |
| NPI Number: | 1023318177 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GOVIND VENKATA KOKA (PRESIDENT) |
| Mailing Address: | 9975 S Eastern Ave 110a Las Vegas |
| State: | NV US |
| Postal Code: | 891837949 |
| Phone Number: | 7024927208 |
| Fax Number: | 7024075645 |
| NPI Enumeration Date: | 10/22/2010 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |