MEDICARE: CARA FANNING 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	207R00000X	Internal Medicine Physician	11377	NV
2	207RI0200X	Infectious Disease Physician	11377	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	:	1841288107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA FANNING MD

Provider Business Mailing Address
First Line	:	7021 SADDLE BACK PEAK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-7127
Country	:	US
Telephone Number	:	702-991-2999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1771 E FLAMINGO RD STE 216
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5155
Country	:	US
Telephone Number	:	702-991-2999
Fax Number	:	702-710-0418

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	06/09/2026

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Directions to “ CARA FANNING MD” Practice Location

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