Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ilya Yegudkin, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750066593

Dr. Ilya Yegudkin, DO is a General Practice in Las Vegas, Nevada. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2023, 3 years ago. Licensed in Nevada.

Years since qualifying
3
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
NV
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

620 Shadow Ln
Las Vegas, NV 89106-4194
Phone: (702) 388-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence SL2023 (NV)
General Practice Physician Taxonomy 208D00000X · Licence DO3957 (NV)

Record details

NPI number1750066593
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address620 Shadow Ln, Las Vegas, NV 89106-4194

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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