Reza Goravanchi, M.D.
Psychiatry & Neurology, Psychiatry in Las Vegas, NV. Individual provider (NPI-1).
NPI number1861886830
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1861886830
- Entity type
- Individual (NPI-1)
- Name
- Reza Goravanchi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2015
- Certification date
- Feb 28, 2022
- Last updated
- Feb 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 18698 | NV | Yes |
Practice location
4270 S Decatur Blvd Ste B6Las Vegas, NV 89103-6802
Phone 702-485-2100 · Fax 028-250-0917
Mailing address
4270 S Decatur Blvd Ste B6Las Vegas, NV 89103-6802
Phone 702-485-2100 · Fax 028-250-0917
Other practice locations
6069 S Fort Apache Rd Ste 108
Las Vegas, NV 89148-5579
Las Vegas, NV 89148-5579
Phone 725-529-5602
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