Organization
MAHAKIAN CHARLES G
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G MAHAKIAN MD (CEO)
(702) 258-6437
Entity
Organization
Contact information
Practice address
6857 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1600
(702) 258-6437
Mailing address
6857 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1600
(702) 258-6437
(702) 258-6769
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881780724
NPI
NV
Enumeration date
03/10/2021
Last updated
03/10/2021
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