Provider Demographics
NPI:1164647244
Name:MOUCHIR S HARB MD LTD
Entity Type:Organization
Organization Name:MOUCHIR S HARB MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MOUCHIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-220-5557
Mailing Address - Street 1:6276 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3242
Mailing Address - Country:US
Mailing Address - Phone:702-220-5557
Mailing Address - Fax:
Practice Address - Street 1:6276 S RAINBOW BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3242
Practice Address - Country:US
Practice Address - Phone:702-220-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1164647244OtherGROUP NPI
NVV101341Medicare PIN
NV101341Medicare ID - Type Unspecified