Healthcare Provider Details

I. General information

NPI: 1164050068
Provider Name (Legal Business Name): ADAM GIVEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 N GIBSON RD
HENDERSON NV
89011-1711
US

IV. Provider business mailing address

840 S RANCHO DR
LAS VEGAS NV
89106-3837
US

V. Phone/Fax

Practice location:
  • Phone: 702-673-5405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number28426
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: