Provider Demographics
NPI:1740480334
Name:GREG FIHN DO LTD
Entity type:Organization
Organization Name:GREG FIHN DO LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:E
Authorized Official - Last Name:FIHN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-434-3446
Mailing Address - Street 1:7455 W AZURE DR
Mailing Address - Street 2:STE C-140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-4430
Mailing Address - Country:US
Mailing Address - Phone:702-434-3446
Mailing Address - Fax:
Practice Address - Street 1:7455 W AZURE DR
Practice Address - Street 2:STE C-140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-4430
Practice Address - Country:US
Practice Address - Phone:702-434-3446
Practice Address - Fax:702-233-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV647207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVF80238Medicare UPIN
NVV104219Medicare PIN