Internal Medicine
CULINARY EXTRA CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801295712 · enumerated 2014-08-15 · record updated 2015-09-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RUSHIKA FERNANDOPULLE MD, CEO · (617) 454-4672
Addresses and phones
- Practice location 1961 LAS VEGAS BLVD S STE 101, LAS VEGAS, NV, 89104-1310 (702) 852-0215 Google Maps Apple Maps OpenStreetMap
- Mailing address 101 TREMONT ST FL 6, BOSTON, MA, 02108-5004 (617) 454-4672 Fax (617) 701-7740 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
-
Practice location
LAS VEGAS, NV, 891041310
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.