Individual
DR. AHMAD FARID BADERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2470 E FLAMINGO RD, SUITE # D, LAS VEGAS, NV 89121-5200
(702) 380-2048
(702) 968-8637
Mailing address
1350 E FLAMINGO RD, #174, LAS VEGAS, NV 89119-5263
(702) 380-2048
(702) 968-8637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11481
NV
208M00000X
Hospitalist Physician
11481
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506784
—
NV
Enumeration date
09/22/2006
Last updated
03/03/2020
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