Individual
DMITRIY KOSYAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4835 S DURANGO DR, LAS VEGAS, NV 89147-8171
(702) 877-5199
(702) 984-5194
Mailing address
4835 S DURANGO DR, LAS VEGAS, NV 89147-8171
(702) 877-5199
(702) 984-5194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11097
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504139
—
NV
Enumeration date
02/02/2006
Last updated
01/17/2017
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