Ivan D Karabachev MD Chartered

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4229 Issued in NV

Legal business name

IVAN D KARABACHEV MD CHARTERED

Practice address

3201 S Maryland Pkwy
#500
Las Vegas, NV 89109-2441

Phone

(702) 369-3066

Fax

(702) 369-7429

NPI assigned

Oct 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan D Karabachev, MD

Title

President

Phone

(702) 369-3066

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1972839231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "address_2": "#500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092441",
            "telephone_number": "702-369-3066",
            "fax_number": "702-369-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "address_2": "#500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092441",
            "telephone_number": "702-369-3066",
            "fax_number": "702-369-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN D KARABACHEV MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "KARABACHEV",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-369-3066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "4229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002809",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• IV Plus LLC
• Catalina Ivan, RN
• Vira Ivanchenko
• Michael Ivanoff
• Michael Ivanov
• Kateryna Ivanova

• Otolaryngology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Otolaryngology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.