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NPI Code Detail

MEDICARE: TIGRAN KOSTANYAN M.D.

MEDICARE: TIGRAN KOSTANYAN 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
1207W00000XOphthalmology Physician19705NV
2207W00000XOphthalmology PhysicianMD467621PA

General Provider Information

NPI Number : 1164800827
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIGRAN KOSTANYAN M.D.
Provider Business Mailing Address
First Line : 2110 E FLAMINGO RD STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5193
Country : US
Telephone Number : 702-932-4257
Fax Number : 702-734-0419
Provider Business Practice Location Address
First Line : 2110 E FLAMINGO RD STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5193
Country : US
Telephone Number : 702-932-4257
Fax Number : 702-734-0419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2015
Last Update Date : 09/25/2020

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Directions to “ TIGRAN KOSTANYAN M.D.” Practice Location

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