Ghadisha, David
Ghadisha, David is an individual health care provider with primary practice located at 888 S Rancho Dr , Las Vegas NV 89106-3831. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Ghadisha, David can be contacted via phone (702) 877-8690.Contact Information
Primary practice address
888 S Rancho Dr
Las Vegas NV 89106-3831
Phone: (702) 877-8690
Fax: (702) 877-5341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 12264 | Nevada |
Profile Details
| NPI number | 1881720225 |
|---|---|
| LBN Legal business name | Ghadisha, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Aug 20th, 2013 - about 13 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 | 1881720225 | NPPES |
| Nevada | MEDICAID | 1881720225 |
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