Healthcare Provider Details

I. General information

NPI: 1912993551
Provider Name (Legal Business Name): GIOVANNI B CIUFFO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 S DURANGO DR
LAS VEGAS NV
89113-0137
US

IV. Provider business mailing address

700 E SILVERADO RANCH BLVD STE 170
LAS VEGAS NV
89183-7518
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-6482
  • Fax: 702-240-8529
Mailing address:
  • Phone: 702-240-6482
  • Fax: 702-240-8529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number22268
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: