MEDICARE: DR. AIDA LOUDYI MD

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
1	207RR0500X	Rheumatology Physician	13307	NV

General Provider Information

NPI Number	:	1225152572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AIDA LOUDYI MD

Provider Business Mailing Address
First Line	:	5550 PAINTED MIRAGE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4581
Country	:	US
Telephone Number	:	725-204-1474
Fax Number	:	725-500-5049

Provider Business Practice Location Address
First Line	:	5550 PAINTED MIRAGE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4581
Country	:	US
Telephone Number	:	725-204-1474
Fax Number	:	725-500-5049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	04/24/2023

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