Djabarzade, Gilda
Djabarzade, Gilda is an sole proprietor health care provider with primary practice located at 2891 N Green Valley Pkwy , Henderson NV 89014-0403. She 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 / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Djabarzade, Gilda can be contacted via phone (702) 948-1140.Contact Information
Primary practice address
2891 N Green Valley Pkwy
Henderson NV 89014-0403
Phone: (702) 948-1140
Fax: (702) 949-6204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22354 | Nevada |
Profile Details
| NPI number | 1255890646 |
|---|---|
| LBN Legal business name | Djabarzade, Gilda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2019 |
| Last updated | Aug 10th, 2022 - about 3 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 | 1255890646 | NPPES |
| Nevada | Other | 22354 | STATE LICENSE |
| Nevada | MEDICAID | 1255890646 | STATE LICENSE |
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