Organization
AHMED JARADAT MD PLLC
Active
Organization
AHMED JARADAT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN DEWS (AGENT)
(702) 355-1187
Entity
Organization
Contact information
Practice address
3022 S DURANGO DR STE 100, LAS VEGAS, NV 89117-4440
(702) 256-3637
Mailing address
3022 S DURANGO DR STE 100, SUITE 100, LAS VEGAS, NV 89117-4440
(702) 256-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15111
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-24023801
TIN
NV
Enumeration date
09/18/2017
Last updated
10/16/2025
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