Edwin Antonio Favis, APN

NPI 1932342748 · on the registry since 2009

Practice

Address: 2628 W Charleston Blvd
Las Vegas, NV 89102
Phone: (702) 644-0500
Fax: (702) 641-4600
Organisation at this address: Russell J. Shah Md Ltd
Radar Medical Group Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-08-28

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