Healthcare Provider Details

I. General information

NPI: 1558402586
Provider Name (Legal Business Name): FADI EL-SALIBI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
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: 702-776-8300
  • Fax: 702-776-8303
Mailing address:
  • Phone: 702-776-8300
  • Fax: 702-776-8303

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:
Title or Position:
Credential:
Phone: