Individual
DR. ILYA YEGUDKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(702) 388-4000
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(702) 388-4000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
DO3957
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SL2023
NV
Other
Enumeration date
06/20/2023
Last updated
11/21/2025
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