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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TODD A RADIVAN, PA-C

Active

TODD A RADIVAN, PA-C is a Medical Physician Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1497757181 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LAS VEGAS, NV

Registration Details

NPI Number
1497757181
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2005 (20.968692999197 yrs)
Last Updated
Jul 27, 2015
License
PA-C57 (NV)

Practice Information

Address
888 S RANCHO DR
LAS VEGAS, NV, 891063810
Browse NV providers · Browse ZIP 89106
Phone
7028778600
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in LAS VEGAS, NV

Name Credential NPI
MR. FREDERICK BLANCHARD BOWLES PA-C 1265435051
MICHAEL SALVATORE FESTENESE P.A.C. 1043217581
MR. MICHAEL FRANCIS FISHER PA 1629076237
JESSE JAMES HARVEY P.A. 1942209119
KEVIN JOSEPH THORN PA-C 1407856982
MR. MICHAEL J. SULLIVAN M.S., P.A.-C 1821098104
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.