Individual
MAHFOUD BEAJOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6040 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5613
(702) 476-4900
(702) 476-4900
Mailing address
6040 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5613
(702) 476-4900
(702) 476-4949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8566
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457323990
—
NV
01
—
8566
NEVADA MEDICAL LICENSE
NV
Enumeration date
02/07/2006
Last updated
06/11/2020
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