Al-Adham, Basel

Al-Adham, Basel is an individual health care provider with primary practice located at 3006 S Maryland Pkwy Suite 690, Las Vegas NV 89109-2218. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Al-Adham, Basel can be contacted via phone (702) 732-1290.

Contact Information

Primary practice address
3006 S Maryland Pkwy Suite 690 Las Vegas NV 89109-2218
Phone: (702) 732-1290
Fax: (702) 732-1385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2020-0008 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 421 Nevada

Profile Details

NPI number 1699802926
LBN Legal business name Al-Adham, Basel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 4th, 2020 - about 4 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 1699802926 NPPES
Nevada Other VWCLCQ MEDICARE GROUP
Nevada MEDICAID 2402308 MEDICARE GROUP

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