Provider Demographics
NPI:1750362323
Name:HALKI, JOHN JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:JOSEPH
Last Name:HALKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6490 S. MCCARRAN BLVD
Mailing Address - Street 2:BLDG D #38
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509
Mailing Address - Country:US
Mailing Address - Phone:775-870-1050
Mailing Address - Fax:775-499-5982
Practice Address - Street 1:6490 S. MCCARRAN BLVD
Practice Address - Street 2:BLDG D #38
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-870-1050
Practice Address - Fax:775-499-5982
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9784207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV200040569OtherRAILROAD MEDICARE PIN
CAXPY197091OtherMEDICAL PIN
NV2016916Medicaid
NV34772Medicare PIN
CAXPY197091OtherMEDICAL PIN
NV200040569OtherRAILROAD MEDICARE PIN