Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-083390 | OH |
N | 111NI0900X | Internist | 35-083390 | OH |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 12536 | NV |
Y | 207RC0000X | Internist - Cardiovascular Disease | 12536 | NV |
NPI | 1699739151 |
---|---|
Provider Name | Shadi N Daoud |
First Address | Las Vegas, NV 89128-0642 |
Second Address | Las Vegas, NV 89128-0642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1699739151 | (05) | NV |