NPI 1184835993 · live from the CMS NPI Registry
Las Vegas International Center For Advance Gynecologic Care
Obstetrics & Gynecology, Gynecology in Las Vegas, NV. National Provider Identifier 1184835993, active.
NPI record
| NPI | 1184835993 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 3150 N Tenaya Way, 270, Las Vegas, NV 89128 |
| Practice phone | 702-798-3008 |
| Enumerated | May 24, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Richard Chudacoff, Owner |
| Other names | Richard Chudacoff MD |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | 12108 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.