MEDICARE: HARAWAY MEDICAL GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number	:	1104482595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARAWAY MEDICAL GROUP PLLC

Provider Business Mailing Address
First Line	:	2031 MCDANIEL ST STE 200
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6312
Country	:	US
Telephone Number	:	702-294-0080
Fax Number	:	702-965-2220

Provider Business Practice Location Address
First Line	:	2031 MCDANIEL ST STE 200
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6312
Country	:	US
Telephone Number	:	702-294-0080
Fax Number	:	702-965-2220

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHERIF AL-HAWAREY
Credential	:	MD
Telephone Number	:	702-294-0080

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	01/15/2026

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