Healthcare Provider Details

I. General information

NPI: 1699762021
Provider Name (Legal Business Name): EVA DOLORES LITTMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 MEDICAL CENTER ST. SUITE 100
LAS VEGAS NV
89148-2402
US

IV. Provider business mailing address

6420 MEDICAL CENTER ST. SUITE 100
LAS VEGAS NV
89148-2402
US

V. Phone/Fax

Practice location:
  • Phone: 702-262-0079
  • Fax: 702-685-6910
Mailing address:
  • Phone: 702-262-0079
  • Fax: 702-685-6910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number11406
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: