Active NPI
Officium Vuthoori MD PLLC
- Internal Medicine Physician
- Henderson, NV
National Provider Identifier
1881215952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OFFICIUM VUTHOORI MD PLLC
- Practice address
- 375 N Stephanie St Ste 1011
Henderson, NV 89014-8901 - Phone
- (702) 407-8241
- Fax
- (702) 492-1728
- NPI assigned
- Apr 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Srinivas B Vuthoori, MD
- Title
- Ceo
- Phone
- (702) 407-8241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
375 N Stephanie St Ste 1011
Henderson, NV 89014-8901
Mailing address
861 Coronado Center Dr Ste 211
Henderson, NV 89052-3992
Phone (702) 407-8241
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OfficiumPLLC |
National Provider Directory
National Provider Directory- Tax ID family
- Officium Vuthoori MD PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Manager/Care Coordinator
- Las Vegas, NV
- NPI 1780564146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1881215952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 CORONADO CENTER DR STE 211",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523992",
"telephone_number": "702-407-8241",
"fax_number": "702-492-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N STEPHANIE ST STE 1011",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148901",
"telephone_number": "702-407-8241",
"fax_number": "702-492-1728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OFFICIUM VUTHOORI MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-30",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "VUTHOORI",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-407-8241",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OfficiumPLLC",
"affiliation": "N",
"address_1": "375 N Stephanie St Ste 1011",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890148901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.