MEDICARE: NABIL JOUNI MD PROFESSIONAL CORPORATION

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1972946994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NABIL JOUNI MD PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	4045 S BUFFALO DR
Second Line	:	STE A101, 159
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-7479
Country	:	US
Telephone Number	:	702-000-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4045 S BUFFALO DR
Second Line	:	STE A101, 159
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-7479
Country	:	US
Telephone Number	:	702-000-0000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	NABIL JOUNI
Credential	:	MD
Telephone Number	:	702-000-0000

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	04/07/2017

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