Individual
DR. KEVIN REZA GOLSHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 WIGWAM PKWY STE 330, HENDERSON, NV 89074-8195
(702) 878-0393
(702) 902-4634
Mailing address
7455 W WASHINGTON AVE STE 160, LAS VEGAS, NV 89128-4356
(702) 878-0393
(702) 902-4580
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17929
NV
207X00000X
Orthopaedic Surgery Physician
269854
MA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
17929
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699041970
—
NV
Enumeration date
03/30/2012
Last updated
01/18/2019
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