MEDICARE: HAZEM Y AFIFI 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	2086S0129X	Vascular Surgery Physician	9677	NV
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	9677	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	:	1740455229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZEM Y AFIFI M.D.

Provider Business Mailing Address
First Line	:	2345 E PRATER WAY STE 207
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-9634
Country	:	US
Telephone Number	:	775-356-9393
Fax Number	:	775-356-5590

Provider Business Practice Location Address
First Line	:	5380 S RAINBOW BLVD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1878
Country	:	US
Telephone Number	:	725-333-8465
Fax Number	:	725-333-8466

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

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	07/21/2022

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Directions to “ HAZEM Y AFIFI M.D.” Practice Location

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