Individual
FADI S BRAITEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3730 S EASTERN AVE, LAS VEGAS, NV 89169
(702) 952-3400
(702) 952-3461
Mailing address
400 N STEPHANIE ST STE 300, HENDERSON, NV 89014-6692
(702) 952-3350
(702) 952-3365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9109
TX
207RX0202X
Medical Oncology Physician
Primary
13623
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410515
BCBSM PIN
MI
05
—
177195801
—
TX
01
—
P00754153
RR MEDICARE
MI
Enumeration date
09/21/2006
Last updated
02/28/2024
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