Provider Demographics
NPI:1831443613
Name:LITTMAN MEDICAL SERVICES, P. C
Entity type:Organization
Organization Name:LITTMAN MEDICAL SERVICES, P. C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-262-0079
Mailing Address - Street 1:6410 MEDICAL CENTER ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2445
Mailing Address - Country:US
Mailing Address - Phone:702-262-0079
Mailing Address - Fax:702-685-6910
Practice Address - Street 1:6410 MEDICAL CENTER ST
Practice Address - Street 2:SUITE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2445
Practice Address - Country:US
Practice Address - Phone:702-262-0079
Practice Address - Fax:702-685-6910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7453174400000X
NV9779174400000X
NV11406174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1699762021Medicaid
NV1013066125Medicaid