Individual
DR. PETER ANTHONY CARAVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8930 W SUNSET RD, SUITE#300, LAS VEGAS, NV 89148-5008
(702) 228-8834
(702) 258-7787
Mailing address
9811 W CHARLESTON BLVD, SUITE#2640, LAS VEGAS, NV 89117-7528
(702) 228-8834
(702) 258-7787
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
10155
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036115137
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
10155
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A100758
CA
Other
Enumeration date
07/27/2007
Last updated
01/27/2011
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