Individual
DR. SISI TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5320 S RAINBOW BLVD STE 250, LAS VEGAS, NV 89118-1807
(702) 671-6480
(702) 671-6481
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-2315
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
17068
NV
207Y00000X
Otolaryngology Physician
A126477
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
17068
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2012
Last updated
10/06/2023
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