Healthcare Provider Details

I. General information

NPI: 1679932651
Provider Name (Legal Business Name): EVA D. LITTMAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2016
Last Update Date: 02/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 MEDICAL CENTER ST SUITE A
LAS VEGAS NV
89148-2445
US

IV. Provider business mailing address

6410 MEDICAL CENTER ST SUITE A
LAS VEGAS NV
89148-2445
US

V. Phone/Fax

Practice location:
  • Phone: 702-262-0079
  • Fax:
Mailing address:
  • Phone: 702-262-0079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number11495
License Number StateNV

VIII. Authorized Official

Name: MS. CATHERINE L MCDONALD
Title or Position: PRACTICE MANAGER
Credential:
Phone: 702-262-0079