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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154328656 | NPPES |
| Nevada | MEDICAID | 2002163 |
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