Individual
DR. SAMIR PANCHOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6910 S CIMARRON RD STE 150, LAS VEGAS, NV 89113-2280
(702) 363-0240
(702) 363-0256
Mailing address
8068 W SAHARA AVE, SUITE G, LAS VEGAS, NV 89117-1973
(702) 363-0240
(702) 363-0256
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
1308
NV
208200000X
Plastic Surgery Physician
Primary
1308
NV
Other
Enumeration date
10/24/2006
Last updated
11/01/2019
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