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Contact Information

BASEL AL ADHAM, PA-C
3006 S MARYLAND PKWY
SUITE 690
LAS VEGAS, NV89109-2218
 Phone: 702-732-1290
 Fax: 702-732-1385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BASEL AL ADHAM · (Male)

NPI Number 1699802926
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/27/2007
Last updated 03/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2020-0008
  • NV License # 421
  • NV Medicaid 2402308
  • NV Other VWCLCQ MEDICARE GROUP
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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