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NPI Code Detail

MEDICARE: DR. MOHAMAD FAYAD DO

MEDICARE:  DR. MOHAMAD  FAYAD  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084V0102XVascular Neurology PhysicianDO3110NV

General Provider Information

NPI Number : 1053793398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMAD FAYAD DO
Provider Business Mailing Address
First Line : 3196 S MARYLAND PKWY STE 405
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2318
Country : US
Telephone Number : 702-707-6960
Fax Number :
Provider Business Practice Location Address
First Line : 3196 S MARYLAND PKWY STE 405
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2318
Country : US
Telephone Number : 702-707-6960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2015
Last Update Date : 12/01/2022

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Directions to “ DR. MOHAMAD FAYAD DO” Practice Location

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