Provider Demographics
NPI:1699762021
Name:LITTMAN, EVA DOLORES (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:DOLORES
Last Name:LITTMAN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6420 MEDICAL CENTER ST.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2402
Mailing Address - Country:US
Mailing Address - Phone:702-262-0079
Mailing Address - Fax:702-685-6910
Practice Address - Street 1:6420 MEDICAL CENTER ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2402
Practice Address - Country:US
Practice Address - Phone:702-262-0079
Practice Address - Fax:702-685-6910
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2011-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV11406207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506426Medicaid
NV100506426Medicaid
NV101116Medicare ID - Type Unspecified