Healthcare Provider Details

I. General information

NPI: 1326270547
Provider Name (Legal Business Name): CORDELIA AFRA SOLOMON M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6040 S FORT APACHE RD STE 100
LAS VEGAS NV
89148
US

IV. Provider business mailing address

6040 S FORT APACHE RD STE 100
LAS VEGAS NV
89148-5613
US

V. Phone/Fax

Practice location:
  • Phone: 702-476-4900
  • Fax:
Mailing address:
  • Phone: 702-476-4900
  • Fax: 702-476-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number15947
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number051101
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number15947
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: