MEDICARE: DR. TIMOTHY THOMAS HAMILTON 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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	12249	NV

General Provider Information

NPI Number	:	1710198759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY THOMAS HAMILTON M.D.

Provider Business Mailing Address
First Line	:	801 S RANCHO DR STE E6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2244
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	12/04/2025

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