MEDICARE: ARA GUEYIKIAN MD LTD

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	:	1477619013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARA GUEYIKIAN MD LTD

Provider Business Mailing Address
First Line	:	PO BOX 751681
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89136-1681
Country	:	US
Telephone Number	:	702-696-8069
Fax Number	:	702-446-2010

Provider Business Practice Location Address
First Line	:	2701 N TENAYA WAY
Second Line	:	SUITE 240
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0478
Country	:	US
Telephone Number	:	702-696-8069
Fax Number	:	702-446-2010

Authorized Official
Title or Position	:	CREDENTIALER
Name	:	CHRIS HOUSTON
Credential	:
Telephone Number	:	702-250-0000

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/17/2018

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