Healthcare Provider Details

I. General information

NPI: 1740423250
Provider Name (Legal Business Name): NASER K HAKKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 LOSEE RD
N LAS VEGAS NV
89081-6595
US

IV. Provider business mailing address

1800 W CHARLESTON BLVD
LAS VEGAS NV
89102-2329
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-2273
  • Fax: 702-383-7395
Mailing address:
  • Phone: 702-383-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-092920
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number13723
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: