NPI 1568120608 · live from the CMS NPI Registry
Manushak Avanesyan
Physician Assistant, Medical in North Las Vegas, NV. National Provider Identifier 1568120608, active.
NPI record
| NPI | 1568120608 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 2031 Mcdaniel St Ste 140, North Las Vegas, NV 89030 |
| Practice phone | 702-633-0207 |
| Mailing address | 9647 Sound View Ave, Las Vegas, NV 89147 |
| Enumerated | December 6, 2021 |
| Last updated | December 6, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.