Provider Demographics
NPI:1043183338
Name:MEDLEGAL TEAMS KHAVKIN MD PLLC
Entity type:Organization
Organization Name:MEDLEGAL TEAMS KHAVKIN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YEVGENIY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAVKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-339-4310
Mailing Address - Street 1:5380 S RAINBOW BLVD STE 306
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1880
Mailing Address - Country:US
Mailing Address - Phone:702-603-5455
Mailing Address - Fax:702-673-4134
Practice Address - Street 1:5380 S RAINBOW BLVD STE 306
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1880
Practice Address - Country:US
Practice Address - Phone:702-603-5455
Practice Address - Fax:702-673-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty