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

Individual provider Licensed Practical Nurse · NPI 1124167440

Keshavan Kodandapani, APN is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2006, 20 years ago. Practices with University Medical Center of Southern Nevada, a 388-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
20
Licensed in
NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

5757 Wayne Newton Blvd
Las Vegas, NV 89111
Phone: (702) 383-2527
Fax: (702) 383-1991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN000923 (NV)
Licensed Practical Nurse Taxonomy 164W00000X · Licence APN000923 (NV)

Record details

NPI number1124167440
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice University Medical Center Of Southern Nevada — 388 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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