Basic Information
Provider Information
NPI: 1912993551
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CIUFFO
FirstName: GIOVANNI
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 700 E SILVERADO RANCH BLVD STE 170
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891837518
CountryCode: US
TelephoneNumber: 7022406482
FaxNumber: 7022408529
Practice Location
Address1: 5225 S DURANGO DR
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891130137
CountryCode: US
TelephoneNumber: 7022406482
FaxNumber: 7022408529
Other Information
ProviderEnumerationDate: 09/20/2005
LastUpdateDate: 09/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000X22268NVY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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