Healthcare Provider Details

I. General information

NPI: 1265134456
Provider Name (Legal Business Name): MUHAMMAD DAUD ABDULLAH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 N TENAYA WAY FL 2
LAS VEGAS NV
89128-0618
US

IV. Provider business mailing address

10624 S EASTERN AVE # A-955
HENDERSON NV
89052-2982
US

V. Phone/Fax

Practice location:
  • Phone: 725-278-5188
  • Fax:
Mailing address:
  • Phone: 702-407-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29773
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: