MEDICARE: KHAVKIN CLINIC 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	16579	NV
2	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	9962	NV
3	207T00000X	Neurological Surgery Physician	50337	AZ
4	207T00000X	Neurological Surgery Physician	44750	AZ
5	207T00000X	Neurological Surgery Physician	15590	NV
6	207L00000X	Anesthesiology Physician	1185	NV
7	207YS0123X	Facial Plastic Surgery Physician	13577	NV
8	207T00000X	Neurological Surgery Physician	13271	NV

General Provider Information

NPI Number	:	1679825483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KHAVKIN CLINIC PLLC

Provider Business Mailing Address
First Line	:	5380 S RAINBOW BLVD STE 306
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1880
Country	:	US
Telephone Number	:	702-888-1188
Fax Number	:	702-476-8995

Provider Business Practice Location Address
First Line	:	5380 S RAINBOW BLVD STE 306
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1880
Country	:	US
Telephone Number	:	702-888-1188
Fax Number	:	702-476-8995

Authorized Official
Title or Position	:	OWNER
Name	:	YEVGENIY KHAVKIN
Credential	:	MD
Telephone Number	:	702-603-5455

Provider Enumeration Date	:	10/04/2012
Last Update Date	:	09/26/2025

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Directions to “KHAVKIN CLINIC PLLC ” Practice Location

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