Organization
HALTHORE JOHNS PEDIATRIC NEUROLOGY
Active
Other names
Neurology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS HALTHORE M.D. (PARTNER)
(702) 796-5505
Entity
Organization
Contact information
Practice address
2020 E DESERT INN RD, LAS VEGAS, NV 89169-3211
(702) 796-5505
(702) 732-9830
Mailing address
2020 E DESERT INN RD, LAS VEGAS, NV 89169-3211
(702) 796-5505
(702) 732-9830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326078098
INDIVIDUAL NPI (MALLER)
NV
01
—
1730119413
INDIVIDUAL NPI (HALTHORE)
NV
01
—
1780615013
INDIVIDUAL NPI (JOHNS)
NV
Enumeration date
06/18/2007
Last updated
12/28/2010
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