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Individual

DR. ANDRE MANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2880 N TENAYA WAY STE 400, LAS VEGAS, NV 89128-0642
(702) 962-9550
(702) 962-5536
Mailing address
PO BOX 100744, ATLANTA, GA 30384-0447

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19604
NV
207R00000X
Internal Medicine Physician
K2239
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
19604
NV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
K2239
TX

Other

Enumeration date
07/07/2006
Last updated
04/03/2024
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