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NPI Code Detail

MEDICARE: OGANES SHILGEVORKYAN MD PLLC

MEDICARE: OGANES SHILGEVORKYAN MD 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
1207Q00000XFamily Medicine Physician16480NV

General Provider Information

NPI Number : 1578012670
Entity Type Code : Organization
Provider Name (Legal Business Name) : OGANES SHILGEVORKYAN MD PLLC
Provider Business Mailing Address
First Line : 500 N RAINBOW BLVD
Second Line : SUITE 300
City : LAS VEGAS
State : NV
Zip : 89107-1082
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3022 S DURANGO DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-4440
Country : US
Telephone Number : 702-256-3637
Fax Number : 877-991-2948
Authorized Official
Title or Position : PRESIDENT
Name : DR. OGANES HOVIK SHILGEVORKYAN
Credential : M.D.
Telephone Number : 818-621-8142
Provider Enumeration Date : 09/29/2016
Last Update Date : 07/22/2021

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