Healthcare Provider Details

I. General information

NPI: 1467655050
Provider Name (Legal Business Name): GEORGE HAHM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 W CHARLESTON BLVD
LAS VEGAS NV
89102-1970
US

IV. Provider business mailing address

2436 HIGH VISTA CIR
HENDERSON NV
89014-3707
US

V. Phone/Fax

Practice location:
  • Phone: 725-241-4246
  • Fax:
Mailing address:
  • Phone: 314-324-7392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101241916
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number15395
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number11473505-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: