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NPI Code Detail

MEDICARE: HAITHAM ELCONSUL MD LLC

MEDICARE: HAITHAM ELCONSUL MD LLC
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
1208M00000XHospitalist Physician

General Provider Information

NPI Number : 1407733975
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAITHAM ELCONSUL MD LLC
Provider Business Mailing Address
First Line : PO BOX 370593
Second Line :
City : LAS VEGAS
State : NV
Zip : 89137-0593
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6166 N DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3912
Country : US
Telephone Number : 702-900-1084
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HAITHAM A ELCONSUL
Credential :
Telephone Number : 702-900-1084
Provider Enumeration Date : 08/18/2025
Last Update Date : 08/18/2025

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Directions to “HAITHAM ELCONSUL MD LLC ” Practice Location

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