Provider Demographics
NPI:1881677136
Name:BRESCAN, OVIDIU (MD)
Entity Type:Individual
Prefix:
First Name:OVIDIU
Middle Name:
Last Name:BRESCAN
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 1:3540 W SAHARA AVE
Mailing Address - Street 2:434
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-5816
Mailing Address - Country:US
Mailing Address - Phone:702-562-3590
Mailing Address - Fax:702-364-9225
Practice Address - Street 1:3804 CRANBROOK HILL ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7688
Practice Address - Country:US
Practice Address - Phone:702-562-3590
Practice Address - Fax:702-364-9225
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8359207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2019933Medicaid
NV30240Medicare ID - Type Unspecified
NV2019933Medicaid