Individual
MARIA RACHEL CHOHLIDAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10105 BANBURRY CROSS DRIVE, SUITE 370, LAS VEGAS, NV 89144-6649
(702) 260-4525
(702) 869-0133
Mailing address
10105 BANBURRY CROSS DRIVE, SUITE 370, LAS VEGAS, NV 89144-6649
(702) 260-4525
(702) 869-0133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1559
NV
208000000X
Pediatrics Physician
A121396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089250
—
CA
05
—
RHM53955F
—
CA
Enumeration date
10/26/2011
Last updated
10/22/2015
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