DR. SRINIVAS N. HALTHORE M.D. NPI 1730119413

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) in Las Vegas, NV

Individual Male Psychiatry & Neurology Neurology with Special Qualifications in... PECOS Enrolled

About SRINIVAS HALTHORE

Srinivas Halthore is a provider established in Las Vegas, Nevada and his medical specialization is psychiatry & neurology. The NPI number of Srinivas Halthore is 1730119413 and was assigned on July 2006. The practitioner's primary taxonomy code is 2084N0402X with license number 7067 (NV). The provider is registered as an individual and his NPI record was last updated October 2019. Srinivas Halthore is enrolled in PECOS.

NPI

1730119413

Provider NameDR. SRINIVAS N. HALTHORE M.D.
Provider Location Address2020 E DESERT INN RD LAS VEGAS, NV 89109
Provider Mailing Address2020 E DESERT INN RD LAS VEGAS, NV 89109
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-05-2006
Last Update Date10-04-2019

Primary Taxonomy

Taxonomy Code2084N0402X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology with Special Qualifications in Child Neurology
License No.7067
License StateNV
Taxonomy DescriptionA Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Business Address

DR. SRINIVAS N. HALTHORE M.D.
2020 E DESERT INN RD
LAS VEGAS, NV
ZIP 89109
Phone: (702) 796-5505
Fax: (702) 732-9830

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Mailing Address

DR. SRINIVAS N. HALTHORE M.D.
2020 E DESERT INN RD
LAS VEGAS, NV
ZIP 89109
Phone: (702) 796-5505
Fax: (702) 732-9830

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
002019640MEDICAID (05)NV

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326078098DR. ALFREDA I. MALLER M.D., PHD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)2020 E DESERT INN RD
LAS VEGAS, NV 89109
(702) 796-5505
1467415976 TREVOR NOGUEIRA M.D.
Individual
Physical Medicine & Rehabilitation2020 E DESERT INN RD
LAS VEGAS, NV 89109
(702) 796-5505
1780615013DR. DONALD W. JOHNS M.D.
Individual
Specialist2020 E DESERT INN RD
LAS VEGAS, NV 89109
(702) 796-5505

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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