Provider Demographics
NPI:1710314968
Name:DEBIPARSHAD, KEVIN PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:PAUL
Last Name:DEBIPARSHAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8180 RAFAEL RIVERA WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-5429
Mailing Address - Country:US
Mailing Address - Phone:702-678-4658
Mailing Address - Fax:844-254-1850
Practice Address - Street 1:8180 RAFAEL RIVERA WAY STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-5429
Practice Address - Country:US
Practice Address - Phone:702-678-4658
Practice Address - Fax:844-254-1850
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15997207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1710314968Medicaid