Provider Demographics
NPI:1689208761
Name:SINKOV SPINE CENTER PLLC
Entity Type:Organization
Organization Name:SINKOV SPINE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINKOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-710-1010
Mailing Address - Street 1:2505 ANTHEM VILLAGE DR STE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1627 E WINDMILL LN STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1911
Practice Address - Country:US
Practice Address - Phone:702-710-1010
Practice Address - Fax:702-757-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty