Healthcare Provider Details

I. General information

NPI: 1326040999
Provider Name (Legal Business Name): HAROLD LEONARD NAIMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 N TENAYA WAY STE 301
LAS VEGAS NV
89128
US

IV. Provider business mailing address

6355 S BUFFALO DR FL 3
LAS VEGAS NV
89113-2133
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-0088
  • Fax: 702-240-3049
Mailing address:
  • Phone: 702-216-3346
  • Fax: 702-671-6883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9386
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: