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NPI Code Detail

MEDICARE: MAHFOUD BEAJOW MD

MEDICARE: MAHFOUD BEAJOW 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
1207R00000XInternal Medicine Physician8566NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18566OTHERNVNEVADA MEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457323990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHFOUD BEAJOW MD
Provider Business Mailing Address
First Line : 6040 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5613
Country : US
Telephone Number : 702-476-4900
Fax Number : 702-476-4949
Provider Business Practice Location Address
First Line : 6040 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5613
Country : US
Telephone Number : 702-476-4900
Fax Number : 702-476-4900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 06/11/2020

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Directions to “ MAHFOUD BEAJOW MD” Practice Location

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