Provider Demographics
NPI:1245343037
Name:DOCASAR, HAYDEE B (MD)
Entity type:Individual
Prefix:
First Name:HAYDEE
Middle Name:B
Last Name:DOCASAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8255 LAS VEGAS BLVD S UNIT 309
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1067
Mailing Address - Country:US
Mailing Address - Phone:702-301-2111
Mailing Address - Fax:855-898-8685
Practice Address - Street 1:6070 S FORT APACHE RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5615
Practice Address - Country:US
Practice Address - Phone:702-550-4870
Practice Address - Fax:855-898-8685
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10887207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV104021Medicaid
NV100502389Medicaid
NV100502389Medicaid