# VKOSTANIANMD PC

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

## Provider details

- **NPI number:** 1679205405
- **Authorized official:** VAROUJAN KOSTANIAN (AUTHORIZED OFFICIAL/OWNER)
- **Authorized official phone:** (702) 649-8009

## Contact information

- **Practice address:** 10001 S EASTERN AVE STE 305, HENDERSON, NV 89052-3908
- **Practice address phone:** (702) 649-8009
- **Practice address fax:** (702) 201-1256
- **Mailing address:** PO BOX 370641, LAS VEGAS, NV 89137-0641
- **Mailing address phone:** (714) 609-9247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2022
- **Last updated:** 11/22/2023