Organization
KHAVKIN MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEVGENIY KHAVKIN (MEDICAL DOCTOR)
(310) 914-9150
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR STE 308, LAS VEGAS, NV 89144-0517
(310) 914-9150
Mailing address
PO BOX 30102, SALT LAKE CITY, UT 84130-0102
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13271
NV
Other
Enumeration date
12/18/2015
Last updated
12/29/2015
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