NPI 1528631702 · live from the CMS NPI Registry
Carli Tyler Abdullah, PA-C
Physician Assistant in Las Vegas, NV. National Provider Identifier 1528631702, active.
NPI record
| NPI | 1528631702 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 500 E Windmill Ln Ste 155, Las Vegas, NV 89123 |
| Practice phone | 702-800-2723 |
| Mailing address | 4097 Painted Lady Ave, Las Vegas, NV 89141 |
| Enumerated | July 23, 2021 |
| Last updated | June 2, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.