Healthcare Provider Details

I. General information

NPI: 1518950401
Provider Name (Legal Business Name): HAROLD ZILBERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 04/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10620 SOUTHERN HIGHLANDS PKWY SUITE 110-513
LAS VEGAS NV
89141-4371
US

IV. Provider business mailing address

3201 S MARYLAND PKWY SUITE 608
LAS VEGAS NV
89109-2441
US

V. Phone/Fax

Practice location:
  • Phone: 702-457-5437
  • Fax: 702-464-5801
Mailing address:
  • Phone: 702-457-5437
  • Fax: 702-464-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9057
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number9057
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: