Individual
VAROUJAN KOSTANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10001 S EASTERN AVE STE 305, HENDERSON, NV 89052-3908
(702) 649-8009
(702) 201-1256
Mailing address
PO BOX 370641, LAS VEGAS, NV 89137-0641
(877) 406-2916
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
11857
NV
2085R0202X
Diagnostic Radiology Physician
11587
NV
2085R0204X
Vascular & Interventional Radiology Physician
Primary
11857
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510011
—
NV
01
—
6643353
CIGNA
NV
01
—
CC4870
BLUE
NV
01
—
P00440879
RR MEDICARE
—
Enumeration date
07/13/2006
Last updated
11/22/2023
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