Takieddine, Marwan A
Takieddine, Marwan A is an individual health care provider with primary practice located at 2450 Fire Mesa St Ste 110 , Las Vegas NV 89128-9034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Takieddine, Marwan A can be contacted via phone (702) 853-0090.Contact Information
Primary practice address
2450 Fire Mesa St Ste 110
Las Vegas NV 89128-9034
Phone: (702) 853-0090
Fax: (702) 853-0096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 7063 | Nevada |
Profile Details
| NPI number | 1023099132 |
|---|---|
| LBN Legal business name | Takieddine, Marwan A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | May 16th, 2024 - about last year |
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 | 1023099132 | NPPES |
| Nevada | MEDICAID | 1023099132 | |
| Nevada | MEDICAID | 347064 | |
| Nevada | MEDICAID | 002019634 |
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