MEDICARE: NOUHAD DAMAJ MD

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
1	207R00000X	Internal Medicine Physician	10028	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134108038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOUHAD DAMAJ MD

Provider Business Mailing Address
First Line	:	PO BOX 33166
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-3166
Country	:	US
Telephone Number	:	702-641-8500
Fax Number	:	702-641-8502

Provider Business Practice Location Address
First Line	:	6170 N DURANGO DR STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3926
Country	:	US
Telephone Number	:	702-641-8500
Fax Number	:	702-641-8502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	08/12/2020

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