Individual
YURIY SERGEEVICH NIKIFOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128-0436
(702) 962-9610
Mailing address
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128-0436
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21311
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
21311
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
21311
NV
Other
Enumeration date
04/15/2017
Last updated
08/31/2022
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