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Individual

ELLYN HIRABAYASHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 386-4000
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO4073
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SL2022
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2023
Last updated
04/02/2026
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