Male or Other

Dr. Lahav Nissim M.D.

Pediatric Radiology Physician in Phoenix, AZ(View on Map)

Full Name

Dr. Lahav Nissim M.D.

NPI Number

1235335324

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/25/2007

Specialties

(Taxonomies)

Code

2085P0229X
2085R0204X

Primary Taxonomy

Yes
No

Licenses

State

Arizona
Arizona

License Number

41679
78350

Contact
Information

Purpose

Mailing
Location

Address

2108 E THOMAS RD STE 130
1919 E THOMAS RD

City

Phoenix
Phoenix

State

AZ
AZ

Postal Code

85016-0008
85016-7710

Country

US
US

Telephone Number

(602) 933-1813
(602) 933-0198

Identifiers

Identifier

615187

Identifier State

AZ

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/07/2024

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