Individual
DR. DAVID SAM KOTLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 CORPORATE CIR, HENDERSON, NV 89074-7737
(702) 968-7210
(702) 735-7153
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
28488
NV
207RH0003X
Hematology & Oncology Physician
300926
NY
207RX0202X
Medical Oncology Physician
MD446692
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245527670
—
NV
01
—
28488
LICENSE
NV
Enumeration date
07/06/2011
Last updated
02/09/2026
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