Jordana Arielle Boneh, M.D.

Individual provider Active NPI Pediatrics Physician · Henderson, NV

NPI 1992067748 · NPPES record last updated Sep 21, 2016

Key facts

NPI
1992067748
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
15856 (NV)
Practice address
2350 W Horizon Ridge Pkwy
Henderson, NV 89052-5075
Phone
(702) 564-8556
Fax
(702) 564-4485
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15856 NV Yes

Addresses

Primary practice location

2350 W Horizon Ridge Pkwy
Henderson, NV 89052-5075

Mailing address

2350 W Horizon Ridge Pkwy
Henderson, NV 89052-5075
Phone (702) 564-8556

Other names

  • Jordana Arielle Hikri Former name

Other providers in Henderson, NV

All providers in Henderson, NV · Pediatrics Physician in Nevada

Sources for this page

Verify at the official NPI Registry.