Provider Demographics
NPI:1134800014
Name:YINGYOUD, NIPAPHAN (OMD)
Entity type:Individual
Prefix:
First Name:NIPAPHAN
Middle Name:
Last Name:YINGYOUD
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9640 W TROPICANA AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-2604
Mailing Address - Country:US
Mailing Address - Phone:888-582-7600
Mailing Address - Fax:
Practice Address - Street 1:9640 W TROPICANA AVE STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-2604
Practice Address - Country:US
Practice Address - Phone:888-582-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5862225700000X
NVNV.2069171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist