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General NPI Number Information
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NPI Number | 1922055128
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Entity Type | Individual
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Provider Name | YEVGENIY A KHAVKIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 5380 S RAINBOW BLVD STE 306
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City | LAS VEGAS
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State | NV
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Zip | 89118-1880
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Country | US
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Telephone | 702-888-1188
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Fax | 702-476-8995
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Provider Business Mailing Address
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Address Line | 5380 S RAINBOW BLVD STE 306
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City | LAS VEGAS
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State | NV
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Zip | 89118-1880
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Country | US
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Telephone | 702-888-1188
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Fax | 702-476-8995
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 01066362A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 13271
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | D63005
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License Number State | MD
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