Provider Demographics
NPI:1144576372
Name:SEGAL, KAREN (DO)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:SEGAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:HERMESH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:653 NORTH TOWN CENTER DRIVE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0516
Mailing Address - Country:US
Mailing Address - Phone:702-462-2659
Mailing Address - Fax:702-702-5834
Practice Address - Street 1:653 NORTH TOWN CENTER DRIVE
Practice Address - Street 2:SUITE 217
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0516
Practice Address - Country:US
Practice Address - Phone:702-462-2659
Practice Address - Fax:702-702-5834
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12538208000000X
390200000X
NVDO2330208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program