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NPI Code Detail

MEDICARE: SAMIR S HADI MBCHB

MEDICARE:   SAMIR S HADI  MBCHB
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
12085R0204XVascular & Interventional Radiology Physician036173564IL
22085R0202XDiagnostic Radiology Physician036173564IL
32085R0204XVascular & Interventional Radiology Physician18477NV
42085R0204XVascular & Interventional Radiology Physician72016WI
52085R0202XDiagnostic Radiology PhysicianMD461320PA
62085R0204XVascular & Interventional Radiology PhysicianPENDINGCO

Other Identifiers

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

General Provider Information

NPI Number : 1861746935
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIR S HADI MBCHB
Provider Business Mailing Address
First Line : 2250 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2250 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5170
Country : US
Telephone Number : 607-242-9241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2012
Last Update Date : 12/08/2025

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Directions to “ SAMIR S HADI MBCHB” Practice Location

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