Stafeeva, Ksenia A

Stafeeva, Ksenia A is an individual health care provider with primary practice located at 2020 Wellness Way Ste 402 , Las Vegas NV 89106-4145. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Stafeeva, Ksenia A can be contacted via phone (702) 485-5000.

Contact Information

Primary practice address
2020 Wellness Way Ste 402 Las Vegas NV 89106-4145
Phone: (702) 485-5000
Fax: (702) 485-5005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A121489 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14891 Nevada

Profile Details

NPI number 1689838427
LBN Legal business name Stafeeva, Ksenia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jan 3rd, 2024 - about 2 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 1689838427 NPPES
Nevada MEDICAID 1689838427

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