Provider Demographics
NPI:1922705888
Name:HM ANDAR DO PLLC
Entity Type:Organization
Organization Name:HM ANDAR DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HAROON
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:510-861-3990
Mailing Address - Street 1:1818 E DESERT INN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3209
Mailing Address - Country:US
Mailing Address - Phone:702-732-0178
Mailing Address - Fax:702-732-0179
Practice Address - Street 1:1818 E DESERT INN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3209
Practice Address - Country:US
Practice Address - Phone:702-732-0178
Practice Address - Fax:702-732-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain