Organization
INTERNAL MEDICINE SPEC OF SOUTHERN NV GROSSMAN PANIKKAR GHADISHAH WHI
Active
Other names
INTERNAL MEDICINE SPECIALISTS OF SOUTHERN NEVADA
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK GHADISHAH DO (PRESIDENT)
(702) 242-2737
Entity
Organization
Contact information
Practice address
201 N BUFFALO DR, LAS VEGAS, NV 89145-0373
(702) 242-2737
(702) 255-3170
Mailing address
201 N BUFFALO DR, LAS VEGAS, NV 89145-0373
(702) 242-2737
(702) 255-3170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501810
—
NV
Enumeration date
07/26/2005
Last updated
10/02/2023
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