Provider Demographics
NPI:1104482595
Name:HAWAREY MEDICAL GROUP PLLC
Entity type:Organization
Organization Name:HAWAREY MEDICAL GROUP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-HAWAREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-294-0080
Mailing Address - Street 1:2031 MCDANIEL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-6312
Mailing Address - Country:US
Mailing Address - Phone:702-294-0080
Mailing Address - Fax:702-965-2220
Practice Address - Street 1:2031 MCDANIEL ST STE 200
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-6312
Practice Address - Country:US
Practice Address - Phone:702-294-0080
Practice Address - Fax:702-965-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty