Organization
IVAN D KARABACHEV MD CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN D KARABACHEV MD (PRESIDENT)
(702) 369-3066
Entity
Organization
Contact information
Practice address
3201 S MARYLAND PKWY, #500, LAS VEGAS, NV 89109-2441
(702) 369-3066
(702) 369-7429
Mailing address
3201 S MARYLAND PKWY, #500, LAS VEGAS, NV 89109-2441
(702) 369-3066
(702) 369-7429
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4229
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002809
—
NV
Enumeration date
10/21/2009
Last updated
10/21/2009
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