Provider Demographics
NPI:1891011359
Name:PLOTNITSKIY, GENNADIY (DO)
Entity Type:Individual
Prefix:DR
First Name:GENNADIY
Middle Name:
Last Name:PLOTNITSKIY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1552 W WARM SPRINGS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4328
Mailing Address - Country:US
Mailing Address - Phone:702-933-5544
Mailing Address - Fax:702-933-5545
Practice Address - Street 1:1552 W WARM SPRINGS RD STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4328
Practice Address - Country:US
Practice Address - Phone:702-933-5544
Practice Address - Fax:702-933-5545
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1525207V00000X
NY256077207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology