Keamy, Mitchell Fadoul

Keamy, Mitchell Fadoul is an individual health care provider with primary practice located at 2850 S Mojave Rd Lot A , Las Vegas NV 89121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Keamy, Mitchell Fadoul can be contacted via phone (702) 386-4700.

Contact Information

Primary practice address
2850 S Mojave Rd Lot A Las Vegas NV 89121
Fax: (702) 386-4701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5653 Nevada

Profile Details

NPI number 1265431241
LBN Legal business name Keamy, Mitchell Fadoul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 27th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265431241 NPPES
Nevada MEDICAID 100504191
Nevada Other P0169392

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