Healthcare Provider Details

I. General information

NPI: 1518117795
Provider Name (Legal Business Name): NASIM S DAOUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 S EASTERN AVE STE 101
LAS VEGAS NV
89123-2875
US

IV. Provider business mailing address

8420 S EASTERN AVE STE 101
LAS VEGAS NV
89123-2875
US

V. Phone/Fax

Practice location:
  • Phone: 702-385-6468
  • Fax: 702-385-2663
Mailing address:
  • Phone: 702-385-6468
  • Fax: 702-385-2663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA115840
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number20390
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: