DR AJAY NELLUTLA INC – NPI #1356596134
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

DR AJAY NELLUTLA INC is a provider located in LAS VEGAS, NV. NPPES has assigned the NPI number 1356596134 to DR AJAY NELLUTLA INC on November 20, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 16 years ago on Sep 28, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR AJAY NELLUTLA INC below.

NPI Profile for
DR AJAY NELLUTLA INC

NPI Number
1356596134
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DR AJAY NELLUTLA INC
Primary location
3201 S MARYLAND PKWY
SUITE #100
LAS VEGAS, NV 89109-2441
Phone: (702) 649-8009 Fax: (702) 649-8049
Mailing address
FILE # 1304-1801 W.OLYMPIC BLVD
PASADENA, CA 91199-1304
Phone: (702) 938-0419 Fax: (702) 939-6954
Organization Subpart
No
Authorized Official
AJAY NELLUTLA
PRESIDENT
Phone: (702) 649-8009
Updated
Identifiers

Identifiers for DR AJAY NELLUTLA INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV1356596134
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
NV 10766

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.