# JEANNIE KHAVKIN MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518273028
- **Authorized official:** JEANNIE KHAVKIN MD (PRESIDENT)
- **Authorized official phone:** (702) 242-3223

## Contact information

- **Practice address:** 653 N TOWN CENTER DR STE 308, LAS VEGAS, NV 89144-0517
- **Practice address phone:** (702) 242-3223
- **Practice address fax:** (702) 270-3224
- **Mailing address:** 653 N TOWN CENTER DR STE 308, LAS VEGAS, NV 89144-0517
- **Mailing address phone:** (702) 242-3223
- **Mailing address fax:** (702) 270-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2010
- **Last updated:** 08/20/2010