Individual
OLEH PANKEWYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 RANCHO LN., STE 250, LAS VEGAS, NV 89106
(702) 383-2224
(702) 383-3035
Mailing address
901 RANCHO LN., STE 250, LAS VEGAS, NV 89106
(702) 383-2224
(702) 383-3035
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
21454
NV
207RN0300X
Nephrology Physician
221448
NY
207RN0300X
Nephrology Physician
Primary
MD061181L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02192309
—
NY
Enumeration date
03/03/2006
Last updated
12/07/2021
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