Nissim, Lahav
Nissim, Lahav is an sole proprietor health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Nissim, Lahav can be contacted via phone (602) 933-0198.Contact Information
Primary practice address
1919 E Thomas Rd
Phoenix AZ 85016-7710
Phone: (602) 933-0198
Fax: (602) 933-2492
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 78350 | Arizona |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 41679 | Arizona |
Profile Details
NPI number | 1235335324 |
---|---|
LBN Legal business name | Nissim, Lahav |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 25th, 2007 |
Last updated | Feb 7th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235335324 | NPPES |
Arizona | MEDICAID | 615187 |
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