Healthcare Provider Details

I. General information

NPI: 1871857953
Provider Name (Legal Business Name): KARAM BATIEHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 W CHARLESTON BLVD STE 300 DEPARTMENT OF INTERNAL MEDICINE
LAS VEGAS NV
89102-2244
US

IV. Provider business mailing address

7391W CHARLESTON BLVD 140
LAS VEGAS NV
89117-1577
US

V. Phone/Fax

Practice location:
  • Phone: 702-671-2341
  • Fax: 702-671-2376
Mailing address:
  • Phone: 702-304-2144
  • Fax: 702-304-2147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number16023
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number16023
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: