MEDICARE: LITTMAN MEDICAL SERVICES, P. C

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	174400000X	Specialist	7453	NV
2	174400000X	Specialist	9779	NV
3	174400000X	Specialist	11406	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831443613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTMAN MEDICAL SERVICES, P. C

Provider Business Mailing Address
First Line	:	6410 MEDICAL CENTER ST
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2445
Country	:	US
Telephone Number	:	702-262-0079
Fax Number	:	702-685-6910

Provider Business Practice Location Address
First Line	:	6410 MEDICAL CENTER ST
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2445
Country	:	US
Telephone Number	:	702-262-0079
Fax Number	:	702-685-6910

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	EVA D LITTMAN
Credential	:	MD
Telephone Number	:	702-262-0079

Provider Enumeration Date	:	11/01/2012
Last Update Date	:	12/26/2013

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