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NPI Code Detail

MEDICARE: OLA ELSAYED EISA M.D.

MEDICARE: OLA ELSAYED EISA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician12799NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184806135
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLA ELSAYED EISA M.D.
Provider Business Mailing Address
First Line : 6870 S RAINBOW BLVD
Second Line : STE 107
City : LAS VEGAS
State : NV
Zip : 89118-2107
Country : US
Telephone Number : 702-216-3346
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 1501 E CALVADA BLVD
Second Line :
City : PAHRUMP
State : NV
Zip : 89048-5807
Country : US
Telephone Number : 775-727-5500
Fax Number : 775-727-5696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2007
Last Update Date : 07/28/2016

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Directions to “ OLA ELSAYED EISA M.D.” Practice Location

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