Provider Demographics
NPI:1841487113
Name:BILIANA M DARZEV MD LTD
Entity type:Organization
Organization Name:BILIANA M DARZEV MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARZEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-456-7255
Mailing Address - Street 1:653 N TOWN CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0517
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV9843261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018490Medicaid
NVV101709Medicare PIN
NVH42309Medicare UPIN