Organization
IYAD HOUSHAN, M.D. PROFESSIONAL CORPORATION
Active
Other names
Gerinet Of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IYAD HOUSHAN M.D. (PRESIDENT)
(714) 619-8777
Entity
Organization
Contact information
Practice address
1820 E WARM SPRINGS RD.,, SUITE 145, LAS VEGAS, NV 89119
(702) 233-5217
(702) 989-0286
Mailing address
1820 E WARM SPRINGS RD.,, SUITE 145, LAS VEGAS, NV 89119
(702) 233-5217
(702) 989-0286
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
10568
NV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
12/14/2006
Last updated
09/15/2015
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