Alexander Selivanov

NPI 1144417247 · on the registry since 2007 · sole proprietor

Practice

Address: 3510 E Tropicana Ave Ste M
Las Vegas, NV 89121
Phone: (702) 436-1717
Fax: (702) 438-1718
Organisation at this address: Faith Medical Clinic, Llc.
Family Tree Medical Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 332B00000X
332B00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada