Provider Demographics
NPI:1457476707
Name:TAHERIAN, ELHAM (MD)
Entity type:Individual
Prefix:
First Name:ELHAM
Middle Name:
Last Name:TAHERIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S RAMPART BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145
Mailing Address - Country:US
Mailing Address - Phone:702-616-5801
Mailing Address - Fax:
Practice Address - Street 1:400 S RAMPART BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145
Practice Address - Country:US
Practice Address - Phone:702-906-1100
Practice Address - Fax:702-906-1110
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12810207RR0500X
CAC153580207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1457476707Medicaid
NV100500484 GROUPMedicaid
NV1457476707Medicaid
NVVWQBHV - GROUPMedicare PIN