Healthcare Provider Details

I. General information

NPI: 1013085257
Provider Name (Legal Business Name): MUHAMMAD A HYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MUHAHHAD ALI MD

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 E TWAIN AVE
LAS VEGAS NV
89121-4011
US

IV. Provider business mailing address

2248 VIA CADOMA
HENDERSON NV
89052-7817
US

V. Phone/Fax

Practice location:
  • Phone: 702-789-6201
  • Fax: 304-522-0686
Mailing address:
  • Phone: 304-208-2988
  • Fax: 304-522-0686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number21858
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number13930
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: