Katarina Karapetyan

Individual provider Active NPI Driver · Las Vegas, NV

NPI 1013485267 · NPPES record last updated Nov 6, 2018

Key facts

NPI
1013485267
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
F3115483 (CA)
Practice address
7473 Pepperbox Ave
Las Vegas, NV 89179-1815
Phone
(702) 210-2160
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
F3115483CAMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver
Group: 193400000X SINGLE SPECIALTY GROUP
172A00000X F3115483 CA Yes

Addresses

Primary practice location

7473 Pepperbox Ave
Las Vegas, NV 89179-1815

Mailing address

7473 Pepperbox Ave
Las Vegas, NV 89179-1815

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Driver in Nevada

Sources for this page

Verify at the official NPI Registry.