Individual
WALLY FOLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6166 N DURANGO DR, LAS VEGAS, NV 89149-3912
(725) 223-4100
(865) 560-7110
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-7224
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17389
NV
207R00000X
Internal Medicine Physician
49722
KY
207R00000X
Internal Medicine Physician
50944
TN
208M00000X
Hospitalist Physician
17389
NV
208M00000X
Hospitalist Physician
50944
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6039779
BLUE CROSS/BLUE SHIELD
TN
01
—
P01505983
RR MEDICARE
TN
05
—
Q012228
—
TN
Enumeration date
05/17/2011
Last updated
11/12/2024
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