Braiteh, Fadi S
Braiteh, Fadi S is an individual health care provider with primary practice located at 3730 S Eastern Ave , Las Vegas NV 89169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Braiteh, Fadi S can be contacted via phone (702) 952-3400.Contact Information
Primary practice address
3730 S Eastern Ave
Las Vegas NV 89169
Phone: (702) 952-3400
Fax: (702) 952-3461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L9109 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 13623 | Nevada |
Profile Details
| NPI number | 1538268438 |
|---|---|
| LBN Legal business name | Braiteh, Fadi S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Feb 28th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538268438 | NPPES |
| Texas | MEDICAID | 177195801 | |
| Texas | Other | 0410515 | |
| Texas | Other | P00754153 |
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