Goravanchi, Soheil

Goravanchi, Soheil is an sole proprietor health care provider with primary practice located at 2450 W Charleston Blvd , Las Vegas NV 89102-2179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goravanchi, Soheil can be contacted via phone (702) 877-8661.

Contact Information

Primary practice address
2450 W Charleston Blvd Las Vegas NV 89102-2179
Phone: (702) 877-8661
Fax: (702) 667-4689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1059 Nevada

Profile Details

NPI number 1154328656
LBN Legal business name Goravanchi, Soheil
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Jan 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154328656 NPPES
Nevada MEDICAID 2002163

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