Individual
DEREK DJAVAHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-3000
Mailing address
1801 W OLYMPIC BLVD, FILE 2152, PASADENA, CA 91199-2152
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21294
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
21294
NV
Other
Enumeration date
03/31/2016
Last updated
08/25/2023
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