Individual
BADRUNNISA I HANIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1707 W CHARLESTON BLVD, 230, LAS VEGAS, NV 89102-2351
(702) 671-5060
(702) 384-6609
Mailing address
3016 W CHARLESTON BLVD, STE 100, LAS VEGAS, NV 89102-1973
(702) 218-0915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10234
NV
208M00000X
Hospitalist Physician
10234
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184601239
—
NV
Enumeration date
02/21/2006
Last updated
11/04/2020
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