Serhan, Mustapha Ibrahim
Serhan, Mustapha Ibrahim is an individual health care provider with primary practice located at 6040 S Fort Apache Rd Ste 100 , Las Vegas NV 89148-5613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Serhan, Mustapha Ibrahim can be contacted via phone (702) 476-4900.Contact Information
Primary practice address
6040 S Fort Apache Rd Ste 100
Las Vegas NV 89148-5613
Phone: (702) 476-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 20823 | Nevada |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 20823 | Nevada |
Profile Details
| NPI number | 1265814628 |
|---|---|
| LBN Legal business name | Serhan, Mustapha Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2015 |
| Last updated | Sep 19th, 2021 - 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 | 1265814628 | NPPES |
| Nevada | Other | 20823 | NV MEDICAL LICENSE |
| Nevada | MEDICAID | 1265814628 | NV MEDICAL LICENSE |
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