MEDICARE: JAWAD A JILANI D.O.

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	207RG0100X	Gastroenterology Physician	DO1849	NV

General Provider Information

NPI Number	:	1477870285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAWAD A JILANI D.O.

Provider Business Mailing Address
First Line	:	2031 MCDANIEL STREET
Second Line	:	SUITE 210
City	:	N. LAS VEGAS
State	:	NV
Zip	:	89030-2902
Country	:	US
Telephone Number	:	702-633-0207
Fax Number	:	702-633-5099

Provider Business Practice Location Address
First Line	:	2031 MCDANIEL ST STE 140
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-6308
Country	:	US
Telephone Number	:	702-633-0207
Fax Number	:	702-633-5099

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

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	12/06/2024

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