Healthcare Provider Details

I. General information

NPI: 1306087267
Provider Name (Legal Business Name): INFECTIOUS DISEASES OF SOUTHERN NEVADA A PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 N GIBSON RD STE 311
HENDERSON NV
89011-1708
US

IV. Provider business mailing address

825 N GIBSON RD STE 311
HENDERSON NV
89011-1708
US

V. Phone/Fax

Practice location:
  • Phone: 702-909-5903
  • Fax:
Mailing address:
  • Phone: 702-776-8300
  • Fax: 702-776-8408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number11000
License Number StateNV

VIII. Authorized Official

Name: DR. FADI D EL-SALIBI
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 702-370-6785