MEDICARE: EKATERINA PLETINSKAYA 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
1	207Q00000X	Family Medicine Physician	10183	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	:	1245267202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EKATERINA PLETINSKAYA M.D.

Provider Business Mailing Address
First Line	:	2865 SIENA HEIGHTS DR
Second Line	:	STE 300
City	:	HENDERSON
State	:	NV
Zip	:	89052-4171
Country	:	US
Telephone Number	:	702-616-5786
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 S. RANCHO BLVD.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106
Country	:	US
Telephone Number	:	702-877-8339
Fax Number	:	702-258-6152

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	05/11/2017

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Directions to “ EKATERINA PLETINSKAYA M.D.” Practice Location

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