Individual
MARK R LAFTAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 N. RANCHO LN. STE. 250, LAS VEGAS, NV 89106
(702) 383-2224
(702) 383-3035
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2224
(702) 383-3035
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
21500
NV
204F00000X
Transplant Surgery Physician
216816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02162370
—
NY
Enumeration date
05/10/2006
Last updated
11/24/2021
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