Healthcare Provider Details

I. General information

NPI: 1326489550
Provider Name (Legal Business Name): SARIT HOVAV M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 01/17/2025
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 FARNAM ST STE 355
OMAHA NE
68131-2850
US

IV. Provider business mailing address

2505 ANTHEM VILLAGE DR STE E504
HENDERSON NV
89052-5505
US

V. Phone/Fax

Practice location:
  • Phone: 402-252-3833
  • Fax: 818-797-1780
Mailing address:
  • Phone: 402-252-3833
  • Fax: 818-797-1780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number42998
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number29218
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19423
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number168726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: