Provider Demographics
NPI:1447272570
Name:GAIL P KRIVAN MD LTD
Entity type:Organization
Organization Name:GAIL P KRIVAN MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:P
Authorized Official - Last Name:KRIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-461-3132
Mailing Address - Street 1:896 W NYE LN STE 102
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-1567
Mailing Address - Country:US
Mailing Address - Phone:775-461-3132
Mailing Address - Fax:775-461-3121
Practice Address - Street 1:896 W NYE LN STE 102
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-1567
Practice Address - Country:US
Practice Address - Phone:775-461-3132
Practice Address - Fax:775-461-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV97352081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty