National Provider Identifier Database

LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE
3150 N TENAYA WAY
270
LAS VEGAS, NV89128-0443
Phone: 702-798-3008
Fax: 702-869-4763
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE

NPI Number 1184835993
Legal business name
LBN
LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE
Authorized official RICHARD CHUDACOFF - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/24/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: 12108

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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