| Infectious Diseases Of Southern | |
|
825 N Gibson Rd Ste 311 Henderson NV 89011-1708 | |
| (702) 776-8300 | |
| Not Available |
| Full Name | Infectious Diseases Of Southern |
|---|---|
| Speciality | Internal Medicine |
| Location | 825 N Gibson Rd Ste 311, Henderson, Nevada |
| Authorized Official Name and Position | Fadi D El-salibi (PHYSICIAN) |
| Authorized Official Contact | 7023706785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Of Southern 1228 Olivia Pkwy Henderson NV 89011-0833 Ph: (702) 370-6785 | Infectious Diseases Of Southern 825 N Gibson Rd Ste 311 Henderson NV 89011-1708 Ph: (702) 776-8300 |
| NPI Number | 1306087267 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 7012065576 |
|---|---|
| Medicare Enrollment ID | O20090511000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306087267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 11000 (Nevada) | Primary |
| Provider Name | Fadi D El Salibi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558402586 PECOS PAC ID: 7214904861 Enrollment ID: I20040913001249 |
| Provider Name | Mir Ali Mohammad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861728198 PECOS PAC ID: 8224211024 Enrollment ID: I20110331000183 |
| Provider Name | Margaret Mary Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518216597 PECOS PAC ID: 9436300662 Enrollment ID: I20121115000184 |
| Provider Name | Kathleen Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982193272 PECOS PAC ID: 6204180144 Enrollment ID: I20181113002124 |
| Provider Name | Edith Borgert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245881317 PECOS PAC ID: 8022449271 Enrollment ID: I20200504001343 |
| Provider Name | Amber L Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192375 PECOS PAC ID: 7416255716 Enrollment ID: I20200828000812 |
| Provider Name | Jessica Noel Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174041735 PECOS PAC ID: 6507104346 Enrollment ID: I20210219000104 |
| Provider Name | Erik Gnandt Jensen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174027874 PECOS PAC ID: 8921350034 Enrollment ID: I20230613003190 |
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