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

Revathi Bedudoori

Individual provider Acute Care Nurse Practitioner · NPI 1073396719

Revathi Bedudoori is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with RD Prabhu-Lata K Shete Mds Ltd, a 13-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2023
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Practice location Address checks out

9750 Maspalomas St
Las Vegas, NV 89178-7512
Phone: (702) 481-9763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 862399 (NV)

Record details

NPI number1073396719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address9750 Maspalomas St, Las Vegas, NV 89178-7512

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rd Prabhu-Lata K Shete Mds Ltd — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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