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CULINARY EXTRA CLINIC
NPI 1801295712
Internal Medicine in Las Vegas, NV

Active since August 15, 2014
1961 LAS VEGAS BLVD S STE 101, LAS VEGAS, NV 89104(702) 852-0215 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Culinary Extra Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CULINARY EXTRA CLINIC (NPI 1801295712) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since August 2014. The organization lists Rushika Fernandopulle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801295712
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCULINARY EXTRA CLINIC
Location Address1961 LAS VEGAS BLVD S STE 101Las Vegas, NV 89104-1310
Mailing Address101 Tremont St Fl 6Boston, MA 02108-5004 · (617) 454-4672 · Fax (617) 701-7740
Phone(702) 852-0215
Organization SubpartNo
Authorized OfficialRushika FernandopulleCeo · (617) 454-4672
Enumeration DateAugust 15, 2014
Last NPPES UpdateSeptember 14, 2015
✔ NPI 1801295712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1961 LAS VEGAS BLVD S STE 101, Las Vegas, NV 89104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Culinary Extra Clinic's NPI number?

The NPI number for Culinary Extra Clinic is 1801295712. It was assigned to this organization in the NPPES registry on August 15, 2014.

Where is Culinary Extra Clinic located?

Culinary Extra Clinic is located at 1961 Las Vegas Blvd S Ste 101, Las Vegas, NV 89104. The listed phone number is (702) 852-0215.

What is Culinary Extra Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Culinary Extra Clinic was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.