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NPI Code Detail

MEDICARE: SHAHAD RIYADH F ALANI

MEDICARE: SHAHAD RIYADH F ALANI
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
13747A0650XAttendant Care Provider
2376J00000XHomemaker
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1063019651
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHAD RIYADH F ALANI
Provider Business Mailing Address
First Line : 9100 W FLAMINGO RD UNIT 1004
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6897
Country : US
Telephone Number : 702-445-0492
Fax Number :
Provider Business Practice Location Address
First Line : 9100 W FLAMINGO RD UNIT 1004
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6897
Country : US
Telephone Number : 702-445-0492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 10/06/2020

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Directions to “ SHAHAD RIYADH F ALANI ” Practice Location

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