Individual
MOKHTAR BOUKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10001 S EASTERN AVE STE 200, HENDERSON, NV 89052-3908
(702) 790-1521
Mailing address
PO BOX 96064, LAS VEGAS, NV 89193-6064
(702) 790-1521
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO3055
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043716962
—
NV
01
—
DO3055
NV STATE BOARD OF OSTEOPATHIC MEDICINE
NV
Enumeration date
03/30/2018
Last updated
06/27/2022
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