Provider Demographics
NPI:1114986304
Name:GUEYIKIAN, ARA (MD)
Entity Type:Individual
Prefix:
First Name:ARA
Middle Name:
Last Name:GUEYIKIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3932
Mailing Address - Country:US
Mailing Address - Phone:702-330-9887
Mailing Address - Fax:702-446-2010
Practice Address - Street 1:1621 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3932
Practice Address - Country:US
Practice Address - Phone:702-330-9887
Practice Address - Fax:702-446-2010
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10769207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100502545Medicaid
NV100502545Medicaid