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1972573178
SUSMITA BHOGINENI-THAKORE
LAS VEGAS, NV
NPI
1972573178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NV 11306)
Enumeration Date
2006-01-23
Last Update Date
2010-03-18
Business Address
-- SUSMITA BHOGINENI-THAKORE MD
650 N NELLIS BLVD
LAS VEGAS, NV 89110
Phone number: 702-459-7424
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Mailing Address
-- SUSMITA BHOGINENI-THAKORE MD
PO BOX 15645
LAS VEGAS, NV 89114-5645
Phone number: 702-560-2879
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