MEDICARE: MR. MOHI E ALKADRI 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
1	207RC0000X	Cardiovascular Disease Physician	MD.203270	LA
2	207RC0000X	Cardiovascular Disease Physician	15334	NV
3	207RI0011X	Interventional Cardiology Physician	15334	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1619167855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHI E ALKADRI M.D

Provider Business Mailing Address
First Line	:	801 S RANCHO DR STE E6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-240-8529

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2244
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-240-8529

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

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	01/14/2025

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