Individual
DR. JOHN VARTAN ANOOSHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 E. CHARLESTON BLVD. #B-130, LAS VEGAS, NV 89104
(702) 968-4000
Mailing address
1701 W. CHARLESTON BLVD., SUITE 670. ATTN: SANDRA EROSA, CREDENTIALING SPECIALIST, LAS VEGAS, NV 89102-2343
(702) 671-2355
(702) 382-5388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8520
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508038
—
NV
Enumeration date
05/12/2006
Last updated
10/31/2016
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