MEDICARE: CONTOMITROS LVGYN CONSULTANTS, PLLC

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	207VG0400X	Gynecology Physician		NV

General Provider Information

NPI Number	:	1124427612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTOMITROS LVGYN CONSULTANTS, PLLC

Provider Business Mailing Address
First Line	:	7908 W. SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117
Country	:	US
Telephone Number	:	702-531-5400
Fax Number	:	702-731-5404

Provider Business Practice Location Address
First Line	:	7908 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1990
Country	:	US
Telephone Number	:	702-531-5400
Fax Number	:	702-731-5404

Authorized Official
Title or Position	:	DOCOTOR
Name	:	DR. ANNA CONTOMITROS
Credential	:	MD
Telephone Number	:	702-531-5400

Provider Enumeration Date	:	08/20/2014
Last Update Date	:	04/27/2021

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