Genghis Portillo M.D.

NPI 1033218532 - Specialist - 174400000X

NPI Details
NPI 1033218532
Gender Male
Enumeration Date 09/21/2006
Last Updated 12/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2320 PASEO DEL PRADO
SUITE 201-B
LAS VEGAS NV, 89102-4358, US
Phone (702) 362-4567
Fax
Business Location
2320 PAEO DEL PRADO
SUITE 201-B
LAS VEGAS NV, 89102, US
Phone (702) 362-4567
Fax
Toxanomy
Taxonomy Code 174400000X
License State Nevada
License Number 10897
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According to our database, Genghis Portillo M.D. NPI is 1033218532, taxonomy code is 174400000X and license number is 10897, license state is located at Nevada. Genghis Portillo M.D. physically located at 2320 Paseo Del Prado, Las Vegas NV, 89102-4358. NPI Number Genghis Portillo M.D. has the Individual type.

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1033218532 NPI number is provided on an as is basis without warranty of any kind. 1033218532 is maintained by the National Plan & Provider Enumeration System. The contents of Genghis Portillo M.D. are for informational purposes only.