Individual provider · Type 1 NPI

Boris Maksimovich Khanukayev, DO

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1780443036 Active

Practice location

3100 N Tenaya Way
Las Vegas, NV 89128-0436

Call (702) 962-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780443036

Boris Maksimovich Khanukayev, DO's National Provider Identifier is 1780443036, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 4, 2024.