Individual
DIMITRIOS T DIAMANDIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 N TENAYA WAY STE 201, LAS VEGAS, NV 89128
(702) 240-0088
(702) 240-3049
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
8782
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020-18648
—
NV
05
—
002018648
—
NV
05
—
PENDING
—
NV
Enumeration date
06/18/2006
Last updated
08/21/2018
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