MEDICARE: HM ANDAR DO 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	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1922705888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HM ANDAR DO PLLC

Provider Business Mailing Address
First Line	:	1818 E DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3209
Country	:	US
Telephone Number	:	702-732-0178
Fax Number	:	702-732-0179

Provider Business Practice Location Address
First Line	:	1818 E DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3209
Country	:	US
Telephone Number	:	702-732-0178
Fax Number	:	702-732-0179

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	HAROON ANDAR
Credential	:	DO
Telephone Number	:	510-861-3990

Provider Enumeration Date	:	02/10/2023
Last Update Date	:	02/10/2023

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