Individual
KAVOSH ROUHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 962-9540
Mailing address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27088
NV
2084P0800X
Psychiatry Physician
CDR.0005484
CO
390200000X
Student in an Organized Health Care Education/Training Program
LL3148
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/19/2018
Last updated
03/10/2026
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