Provider Demographics
NPI:1033233085
Name:LANGDON, ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:LANGDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 96897
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-6897
Mailing Address - Country:US
Mailing Address - Phone:702-898-7226
Mailing Address - Fax:702-898-6921
Practice Address - Street 1:3005 W HORIZON RIDGE PKWY
Practice Address - Street 2:STE. 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5029
Practice Address - Country:US
Practice Address - Phone:702-898-7226
Practice Address - Fax:702-898-6921
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12486207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1144241670Medicaid
NVLL1432OtherMEDICAL LICENSE
NVBL8803454OtherDEA CERTIFICATE