Provider Demographics
NPI:1205397833
Name:ALTSHULER, PAULINA CHRISTINE (DO)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:CHRISTINE
Last Name:ALTSHULER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3196 S MARYLAND PKWY STE 303
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2314
Mailing Address - Country:US
Mailing Address - Phone:702-944-2888
Mailing Address - Fax:702-944-2890
Practice Address - Street 1:3196 S MARYLAND PKWY STE 303
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2314
Practice Address - Country:US
Practice Address - Phone:702-944-2888
Practice Address - Fax:702-944-2890
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL.0007513390200000X
NVDO3428207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program