Healthcare Provider Details

I. General information

NPI: 1336148543
Provider Name (Legal Business Name): ADASHEK AND WILKES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5761 S FORT APACHE RD BLDG. 8
LAS VEGAS NV
89148-5506
US

IV. Provider business mailing address

5761 S FORT APACHE RD BLDG. 8
LAS VEGAS NV
89148-5506
US

V. Phone/Fax

Practice location:
  • Phone: 702-341-6610
  • Fax: 702-341-6961
Mailing address:
  • Phone: 702-341-6610
  • Fax: 702-341-6961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number StateNV

VIII. Authorized Official

Name: JANEL MCDONALD
Title or Position: CEO
Credential:
Phone: 702-341-6610