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General NPI Number Information
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NPI Number | 1861417792
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Entity Type | Individual
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Provider Name | VAROUJAN KOSTANIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 10001 S EASTERN AVE STE 305
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City | HENDERSON
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State | NV
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Zip | 89052-3908
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Country | US
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Telephone | 702-649-8009
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Fax | 702-201-1256
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Provider Business Mailing Address
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Address Line | PO BOX 370641
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City | LAS VEGAS
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State | NV
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Zip | 89137-0641
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Country | US
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Telephone | 877-406-2916
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 11857
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 11587
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 11857
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License Number State | NV
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