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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235335324 NPPES
Arizona MEDICAID 615187

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