Provider Demographics
NPI:1740632819
Name:HAYAT JAWADI DO PLLC
Entity type:Organization
Organization Name:HAYAT JAWADI DO PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MNG MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HAYAT
Authorized Official - Middle Name:
Authorized Official - Last Name:JAWADI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-834-7300
Mailing Address - Street 1:2880 BICENTENNIAL PKWY
Mailing Address - Street 2:STE 100 # 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89044-4483
Mailing Address - Country:US
Mailing Address - Phone:702-834-7300
Mailing Address - Fax:702-902-2400
Practice Address - Street 1:3041 W HORIZON RIDGE PKWY STE 165
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5061
Practice Address - Country:US
Practice Address - Phone:702-834-7300
Practice Address - Fax:702-902-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207VG0400X
NV363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty