MEDICARE: MOUCHIR S HARB MD LTD

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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1164647244	OTHER	NV	GROUP NPI

General Provider Information

NPI Number	:	1164647244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUCHIR S HARB MD LTD

Provider Business Mailing Address
First Line	:	6276 S RAINBOW BLVD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3242
Country	:	US
Telephone Number	:	702-220-5557
Fax Number	:

Provider Business Practice Location Address
First Line	:	6276 S RAINBOW BLVD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3242
Country	:	US
Telephone Number	:	702-220-5557
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MOUCHIR S HARB
Credential	:	M.D.
Telephone Number	:	702-220-5557

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	05/05/2011

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