Organization
YEKATERINA KHRONUSOVA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEKATERINA KHRONUSOVA MD (PRESIDENT)
(702) 898-2084
Entity
Organization
Contact information
Practice address
8420 S EASTERN AVE, LAS VEGAS, NV 89123-2874
(702) 898-2084
(702) 566-6911
Mailing address
2165 E WINDMILL LN, SUITE #335, LAS VEGAS, NV 89123-2074
(702) 898-2084
(702) 566-6911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9662
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9662
NV MEDICAL LICENSE
NV
Enumeration date
08/10/2009
Last updated
08/10/2009
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