Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Psychophylaxis Institute LLC

Organization Family Medicine Physician · NPI 1972017549

Psychophylaxis Institute LLC is a Family Medicine Physician in Las Vegas, Nevada. Licensed in Michigan and Nevada. Registered with an NPI since 2017.

Licensed in
MI, NV
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2470 E Flamingo Rd Ste D
Las Vegas, NV 89121-5200
Phone: (702) 544-3849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17489 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301102270 (MI)

Record details

NPI number1972017549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mudalodu Vasudevan — Ceo · (646) 688-3579
NPI enumeratedNovember 18, 2017
Last updated in NPPESNovember 18, 2017
Mailing address164 W Invitar Ln, Mountain House, CA 95391-2036

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