Healthcare Provider Details

I. General information

NPI: 1831807981
Provider Name (Legal Business Name): DHK ALAFI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2722 WILD CACTUS CT
LAS VEGAS NV
89156-7577
US

IV. Provider business mailing address

2722 WILD CACTUS CT
LAS VEGAS NV
89156-7577
US

V. Phone/Fax

Practice location:
  • Phone: 702-401-2111
  • Fax:
Mailing address:
  • Phone: 702-401-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DAYANA LANCEL TORRES
Title or Position: MANAGER
Credential:
Phone: 702-401-2111