Healthcare Provider Details

I. General information

NPI: 1669969051
Provider Name (Legal Business Name): KATRINA HERBST NAIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS KATRINA MARIE HERBST

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 S CIMARRON RD STE 200
LAS VEGAS NV
89113-2135
US

IV. Provider business mailing address

6950 S CIMARRON RD STE 200
LAS VEGAS NV
89113-2135
US

V. Phone/Fax

Practice location:
  • Phone: 702-796-0231
  • Fax: 702-796-5211
Mailing address:
  • Phone: 702-796-0231
  • Fax: 702-796-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number26186
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: