Provider Demographics
NPI:1528898665
Name:NEVADA PAIN MANAGEMENT PLLC
Entity type:Organization
Organization Name:NEVADA PAIN MANAGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAJIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLAD
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:702-323-4467
Mailing Address - Street 1:1575 W HORIZON RIDGE PKWY # 530598
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3492
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5440 W SAHARA AVE STE 104
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0363
Practice Address - Country:US
Practice Address - Phone:702-323-4447
Practice Address - Fax:855-592-1415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty