MEDICARE: ARA GUEYIKIAN MD

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
1	207R00000X	Internal Medicine Physician	10769	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114986304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARA GUEYIKIAN MD

Provider Business Mailing Address
First Line	:	1621 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3932
Country	:	US
Telephone Number	:	702-330-9887
Fax Number	:	702-446-2010

Provider Business Practice Location Address
First Line	:	1621 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3932
Country	:	US
Telephone Number	:	702-330-9887
Fax Number	:	702-446-2010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	09/17/2018

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