Provider Demographics
NPI:1306722285
Name:POPOV PSYCHIATRY PLLC
Entity type:Organization
Organization Name:POPOV PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POPOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-428-5549
Mailing Address - Street 1:9360 W FLAMINGO RD STE 110-326
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6410
Mailing Address - Country:US
Mailing Address - Phone:702-760-7152
Mailing Address - Fax:702-760-7125
Practice Address - Street 1:9360 W FLAMINGO RD STE 110-326
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6410
Practice Address - Country:US
Practice Address - Phone:702-760-7152
Practice Address - Fax:702-760-7125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty