NPI 1699802926 · live from the CMS NPI Registry
Basel Al-Adham, PA-C
Physician Assistant in Las Vegas, NV. National Provider Identifier 1699802926, active.
NPI record
| NPI | 1699802926 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3006 S Maryland Pkwy, Suite 690, Las Vegas, NV 89109 |
| Practice phone | 702-732-1290 |
| Mailing address | 3090 Viale Marco Polo, Henderson, NV 89052 |
| Enumerated | February 27, 2007 |
| Last updated | March 4, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA2020-0008 (NM) |
| Physician Assistant, Surgical | 363AS0400X | 421 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.