Healthcare Provider Details

I. General information

NPI: 1386195303
Provider Name (Legal Business Name): MUHAMMAD Y ADEEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7020 SMOKE RANCH RD # 150
LAS VEGAS NV
89128-3111
US

IV. Provider business mailing address

7020 SMOKE RANCH RD # 150
LAS VEGAS NV
89128-3111
US

V. Phone/Fax

Practice location:
  • Phone: 702-258-1601
  • Fax: 702-870-1995
Mailing address:
  • Phone: 702-258-1601
  • Fax: 702-870-1995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number23716
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number23716
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: