Individual
DR. BABAK GHADISHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
1112
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503211
—
NV
Enumeration date
07/07/2006
Last updated
10/02/2023
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