Healthcare Provider Details

I. General information

NPI: 1619167855
Provider Name (Legal Business Name): MOHI E ALKADRI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8530 W SUNSET RD STE 110
LAS VEGAS NV
89113-2244
US

IV. Provider business mailing address

801 S RANCHO DR STE E6
LAS VEGAS NV
89106-3812
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-6482
  • Fax: 702-240-8529
Mailing address:
  • Phone: 702-240-6482
  • Fax: 702-240-8529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD.203270
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number15334
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number15334
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: