Organization Active NPI

Mukherjee Professional Services PLLC

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1699941880
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9886 Issued in NV
Legal business name
MUKHERJEE PROFESSIONAL SERVICES PLLC
Practice address
133 S Ring Dove Dr
Las Vegas, NV 89144-4350
Phone
(702) 562-0691
NPI assigned
May 7, 2008
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ranadev Mukherjee, MD
Title
Member
Phone
(702) 204-0435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9886 NV Primary

Addresses

Primary practice location

133 S Ring Dove Dr
Las Vegas, NV 89144-4350

Mailing address

133 S Ring Dove Dr
Las Vegas, NV 89144-4350
Phone (702) 204-0435

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1699941880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S RING DOVE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444350",
            "telephone_number": "702-204-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S RING DOVE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444350",
            "telephone_number": "702-562-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKHERJEE PROFESSIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "RANADEV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-204-0435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "9886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.