Organization
JEANNIE KHAVKIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE KHAVKIN MD (PRESIDENT)
(702) 242-3223
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR STE 308, LAS VEGAS, NV 89144-0517
(702) 242-3223
(702) 270-3224
Mailing address
653 N TOWN CENTER DR STE 308, LAS VEGAS, NV 89144-0517
(702) 242-3223
(702) 270-3224
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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