Individual
TAHNE VONGSAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1701 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102-2312
(702) 660-8658
(702) 676-3635
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(027) 802-3157
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3892
NV
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/21/2022
Last updated
08/04/2025
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