# LAS VEGAS UROLOGY LLP

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

## Provider details

- **NPI number:** 1629054994
- **Authorized official:** VICTOR E. GRIGORIEV MD (MNG MBR)
- **Authorized official phone:** (702) 233-0727

## Contact information

- **Practice address:** 7150 W SUNSET RD STE 202B, LAS VEGAS, NV 89113-1981
- **Practice address phone:** (702) 385-4342
- **Practice address fax:** (702) 385-4346
- **Mailing address:** 7150 W SUNSET RD STE 200, LAS VEGAS, NV 89113-1982
- **Mailing address phone:** (702) 385-4342
- **Mailing address fax:** (702) 385-4346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 07/17/2024