Mahdika Keyonna Underwood
DO | Pediatric Emergency Medicine | Female
Mahdika Keyonna Underwood, DO is a Las Vegas, Nevada based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine. Mahdika Keyonna Underwood is also known as
Mahdika Keyonna Johnson.
Current practice location of Mahdika Keyonna Underwood is
901 Rancho Ln Ste 135, Las Vegas, Nevada - 89106-3826. She can be contacted on phone at
702-383-7885.
Mahdika Keyonna Underwood is a sole proprietor of her business.
NPI number (Unique professional ID) for Mahdika Keyonna Underwood is
1770042079 which was assigned by NPPES on 16 Mar, 2019 and it was last updated on 21 Aug, 2022.
Mahdika Keyonna Underwood license number is
DO3245 for Pediatrics (2080P0204X) in Nevada.
Mahdika Keyonna Underwood has special qualifications to manage emergencies in infants and children.
Complete Profile:
Mahdika Keyonna Underwood basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mahdika Keyonna Underwood |
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| Other Name : | Mahdika Keyonna Johnson |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Mahdika Keyonna Underwood address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 901 Rancho Ln Ste 135
Las Vegas, NV, 89106-3826
United States |
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| Phone Number : | 702-383-7885 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770042079 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Mar, 2019 |
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| Last Updated On : | 21 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mahdika Keyonna Underwood are as mentioned. Primary taxonomy code for Mahdika Keyonna Underwood, DO is
2080P0204X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080P0204X | Pediatrics | Yes | DO3245 | NV |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1524 PINTO LN FL 2,
LAS VEGAS, NV, 89106-4195
United States | LAS VEGAS, NV | 702-780-7587 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 901 Rancho Ln Ste 135
Las Vegas, NV, 89106-3826
United States |
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| Phone Number : | 702-780-7587 |
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Business Location:
Patients can refer following map for directions to
Mahdika Keyonna Underwood practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.