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NPI Code Detail

MEDICARE: GRANT MIKI KARNO M.D.

MEDICARE: GRANT MIKI KARNO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician16946NV
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician16946NV

General Provider Information

NPI Number : 1124462056
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT MIKI KARNO M.D.
Provider Business Mailing Address
First Line : 9033 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5745
Country : US
Telephone Number : 702-476-9999
Fax Number : 702-946-1343
Provider Business Practice Location Address
First Line : 2809 W CHARLESTON BLVD STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1998
Country : US
Telephone Number : 702-476-9999
Fax Number : 702-946-1343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 04/28/2026

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Directions to “ GRANT MIKI KARNO M.D.” Practice Location

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