Healthcare Provider Details

I. General information

NPI: 1912439571
Provider Name (Legal Business Name): ERIK MAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 N TENAYA WAY GRADUATE MEDICAL EDUCATION
LAS VEGAS NV
89128-0436
US

IV. Provider business mailing address

3100 N TENAYA WAY GRADUATE MEDICAL EDUCATION
LAS VEGAS NV
89128-0436
US

V. Phone/Fax

Practice location:
  • Phone: 702-962-9540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number88128
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number88128
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: