DR. SHADI ABDELNOUR (NPI# 1629128764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629128764 |
| Entity Type | Individual |
| Full Name | DR. SHADI ABDELNOUR |
| Credential | MD |
| Practice Address |
1707 W Charleston Blvd 200 Las Vegas NV 89102-2351 |
| Mailing Address |
1701 W Charleston Blvd Ste 215 Las Vegas NV 89102-2312 |
| Practice Telephone | 7026716469 |
| Practice Fax Number | 7026715090 |
| Mailing Telephone | 7756828175 |
| Mailing Fax Number | 7753272006 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
14060 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1184601239 | 05 |
| Street Address |
1707 W CHARLESTON BLVD 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377693 | Miracle Wangsuwana | Psychiatry & Neurology | 1707 W Charleston Blvd, Suite #220, Las Vegas, NV 89102-2351 | 2005-09-26 |
| 1073040127 | Evan Drew Davis | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2017-05-19 |
| 1336674969 | Bobby Karandeep Singh Brar | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1497280036 | Pooja Patil | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1346772597 | Angela Hui-chia Liu | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-03-28 |
| 1902345077 | Ankita Raman | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Ste 120, Las Vegas, NV 89102-2351 | 2017-02-22 |
| 1669852513 | Cameron Lasley | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2015-06-05 |
| 1043627508 | Richard Witty Jr. | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-16 |
| 1346657285 | Jacqueline Sanders Delaney | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-11 |
| 1710305156 | Ali Osama Malik | Internal Medicine | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356759955 | David Horwitz | Internal Medicine | 9101 Alta Dr Unit 702, Las Vegas, NV 89145-8536 | 2014-07-27 |
| 1811245400 | Molok Rahnema Md Valley Endocrinology Pllc | Internal Medicine | 653 N. Town Center Dr, Suite 504, Las Vegas, NV 89144-0514 | 2012-08-29 |
| 1922231745 | Nana Esi Nkuma Kittah | Internal Medicine | 2285 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5114 | 2009-08-27 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1679648463 | Lubna Ahmad | Internal Medicine | 7010 Smoke Ranch Road, Suite 100, Las Vegas, NV 89128-0481 | 2006-11-21 |
| 1750305470 | Mary Ann Nhan Martin | Internal Medicine | 8352 W Warm Springs Rd Fl 3, Las Vegas, NV 89113 | 2006-07-26 |
| 1366493181 | Emir Barbaros Safak Guven | Internal Medicine | 322 East Karen Avenuew, Suite 1406, Las Vegas, NV 89114-5645 | 2006-05-15 |
| 1952366197 | Carlos Hernandez-cassis | Internal Medicine | 3880 S Jones Blvd, Va Southern Nevada Hcs, Southwest Clinic, Las Vegas, NV 89103-2456 | 2006-04-19 |
| 1750354239 | Paul Tomasic | Internal Medicine | 9260 W Sunset Rd Ste 207, Ste. 207, Las Vegas, NV 89148-4903 | 2006-02-07 |
| 1861494379 | James William Snyder | Internal Medicine | 6040 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-5613 | 2005-08-15 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on DR. SHADI ABDELNOUR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.