Provider Demographics
NPI:1649687914
Name:GOLOSHCHAPOV, DENYS V (MD)
Entity type:Individual
Prefix:DR
First Name:DENYS
Middle Name:V
Last Name:GOLOSHCHAPOV
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6415 S FORT APACHE RD STE 185-1005
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-6744
Mailing Address - Country:US
Mailing Address - Phone:702-829-6386
Mailing Address - Fax:702-479-1983
Practice Address - Street 1:1800 W. CHARLESTON BLVD.
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-383-2000
Practice Address - Fax:702-383-3620
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV23270207L00000X, 208VP0014X
NMMD2019-0248207L00000X
UT9610007-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100557197Medicaid