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NPI Code Detail

MEDICARE: DR. OGANES HOVIK SHILGEVORKYAN M.D.

MEDICARE: DR. OGANES HOVIK SHILGEVORKYAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician16480NV

General Provider Information

NPI Number : 1033552161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OGANES HOVIK SHILGEVORKYAN M.D.
Provider Business Mailing Address
First Line : 3022 S DURANGO DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-4440
Country : US
Telephone Number :
Fax Number : 877-991-2948
Provider Business Practice Location Address
First Line : 3022 S DURANGO DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-4440
Country : US
Telephone Number : 702-256-3637
Fax Number : 877-991-2948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 07/22/2021

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