Ezhuthachan, Rutu S
Ezhuthachan, Rutu S is an individual health care provider with primary practice located at 4475 S Eastern Ave , Las Vegas NV 89119-7826. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ezhuthachan, Rutu S can be contacted via phone (702) 737-1880.Contact Information
Primary practice address
4475 S Eastern Ave
Las Vegas NV 89119-7826
Phone: (702) 737-1880
Fax: (702) 259-4634
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10466 | Nevada |
Profile Details
NPI number | 1730159815 |
---|---|
LBN Legal business name | Ezhuthachan, Rutu S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Jun 10th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730159815 | NPPES |
Nevada | MEDICAID | 2018853 | |
Nevada | MEDICAID | 3102853 | |
Nevada | MEDICAID | 1730159815 |
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