Provider Demographics
NPI:1457576175
Name:STUART M HOFFMAN MD LTD
Entity Type:Organization
Organization Name:STUART M HOFFMAN MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-798-3008
Mailing Address - Street 1:9360 W FLAMINGO RD
Mailing Address - Street 2:SUITE 110 391
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6426
Mailing Address - Country:US
Mailing Address - Phone:702-798-3008
Mailing Address - Fax:702-369-4763
Practice Address - Street 1:5735 S FORT APACHE ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-798-3008
Practice Address - Fax:702-369-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9758208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVH34796Medicare UPIN
NVV38388Medicare PIN