Individual
YOUHANS GHEBRENDRIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S RANCHO DR # 4-740, LAS VEGAS, NV 89106
(702) 242-6911
Mailing address
840 S RANCHO DR # 4-740, LAS VEGAS, NV 89106-3837
(702) 242-6911
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19125
NV
208100000X
Physical Medicine & Rehabilitation Physician
A131060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19125
NV MEDICAL LICENSE
NV
Enumeration date
04/24/2012
Last updated
11/22/2019
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