Provider Demographics
NPI:1003883315
Name:WASHINSKY, JOEL E (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:E
Last Name:WASHINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3012 S DURANGO DR
Mailing Address - Street 2:STE. 2
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-9186
Mailing Address - Country:US
Mailing Address - Phone:702-366-1655
Mailing Address - Fax:702-942-4388
Practice Address - Street 1:3012 S DURANGO DR
Practice Address - Street 2:STE. 1
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-9186
Practice Address - Country:US
Practice Address - Phone:702-366-0640
Practice Address - Fax:702-366-9075
Is Sole Proprietor?:No
Enumeration Date:2006-03-06
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV5955207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100502845Medicaid
E40043Medicare UPIN
NV100502845Medicaid