MEDICARE: DR. ELAN GADA M.D.

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	P9191	TX
2	207R00000X	Internal Medicine Physician	18702	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18702	OTHER	NV	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376837823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELAN GADA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 98978
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-8978
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	821 N NELLIS BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-5387
Country	:	US
Telephone Number	:	702-438-4003
Fax Number	:	702-438-0555

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

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	04/03/2019

Similar Medicare Providers

1225028731 — CHRISTO A HADJIEV MD
Practice Location Address:

821 N NELLIS BLVD STE 100
LAS VEGAS, NV
89110-5387

Practice Phone: 702-438-4003
Practice Fax: 702-438-0555

1063470417 — ROSE MARIE MCINTOSH FNPC CS
Practice Location Address:

821 N NELLIS BLVD STE 100
LAS VEGAS, NV
89110-5387

Practice Phone: 702-438-4003
Practice Fax: 702-438-0555

1427061928 — LARRY STRAUB PT
Practice Location Address:

821 N NELLIS BLVD STE 130
LAS VEGAS, NV
89110-5387

Practice Phone: 702-452-4563
Practice Fax: 702-452-6704

1487763058 — WILLIAM DEREK RICHARDSON
Practice Location Address:

821 N NELLIS BLVD STE 130
LAS VEGAS, NV
89110-5387

Practice Phone: 702-452-4563
Practice Fax:

1972852721 — CHRISTOPHER RYAN FRIAS OTR/L
Practice Location Address:

821 N NELLIS BLVD STE 130
LAS VEGAS, NV
89110-5387

Practice Phone: 702-452-4563
Practice Fax:

1790188555 — NATHANIA LOUISE PARK FNP-BC
Practice Location Address:

821 N NELLIS BLVD STE 100
LAS VEGAS, NV
89110-5387

Practice Phone: 702-438-4003
Practice Fax: 702-438-0555

Directions to “ DR. ELAN GADA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.