Provider Demographics
NPI:1710087416
Name:DARZEV, BILIANA M (MD, LTD)
Entity Type:Individual
Prefix:
First Name:BILIANA
Middle Name:M
Last Name:DARZEV
Suffix:
Gender:F
Credentials:MD, LTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 N TOWN CENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0514
Mailing Address - Country:US
Mailing Address - Phone:702-456-7255
Mailing Address - Fax:702-456-7855
Practice Address - Street 1:653 N TOWN CENTER DR
Practice Address - Street 2:SUITE 300
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0514
Practice Address - Country:US
Practice Address - Phone:702-456-7255
Practice Address - Fax:702-456-7855
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV9843207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018490Medicaid