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
Fax: (702) 952-3461
Website:

Health care specialties

SpecialtyCodeLicense #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 7 months 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 1538268438 NPPES
Texas MEDICAID 177195801
Texas Other 0410515
Texas Other P00754153

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