Organization
YOUHANS GHEBRENDRIAS MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUHANS GHEBRENDRIAS MD (OWNER/PRESIDENT)
(559) 916-9826
Entity
Organization
Contact information
Practice address
840 S RANCHO DR # 4-740, LAS VEGAS, NV 89106-3837
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19125
NV MEDICAL LICENSE
NV
Enumeration date
11/22/2019
Last updated
11/22/2019
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