Provider Demographics
NPI:1467912972
Name:DEVERA, ANASTASIA BELILOVETS (DO)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:BELILOVETS
Last Name:DEVERA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 N DURANGO DR STE 401
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4598
Mailing Address - Country:US
Mailing Address - Phone:024-632-9817
Mailing Address - Fax:702-463-2883
Practice Address - Street 1:6850 N DURANGO DR STE 401
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4598
Practice Address - Country:US
Practice Address - Phone:702-463-2981
Practice Address - Fax:702-463-2883
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO3317207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology