Healthcare Provider Details

I. General information

NPI: 1992093587
Provider Name (Legal Business Name): SHERVIN NAJAFI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2011
Last Update Date: 12/23/2021
Certification Date: 09/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6940 OBANNON DR
LAS VEGAS NV
89117-2122
US

IV. Provider business mailing address

6940 OBANNON DR
LAS VEGAS NV
89117-2122
US

V. Phone/Fax

Practice location:
  • Phone: 702-522-7760
  • Fax: 702-522-7780
Mailing address:
  • Phone: 702-522-7760
  • Fax: 702-522-7780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number297617-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number20131
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number20131
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number297617-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: