| Husameddin Elmesallati Md Pllc | |
|
2250 E Flamingo Rd Las Vegas NV 89119-5170 | |
| (702) 784-4300 | |
| Not Available |
| Full Name | Husameddin Elmesallati Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2250 E Flamingo Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Husameddin Elmesallati (OWNER) |
| Authorized Official Contact | 4437894665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Husameddin Elmesallati Md Pllc Po Box 50224 Henderson NV 89016-0224 Ph: (443) 789-4665 | Husameddin Elmesallati Md Pllc 2250 E Flamingo Rd Las Vegas NV 89119-5170 Ph: (702) 784-4300 |
| NPI Number | 1124596978 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 11/16/2018 |
| Medicare PECOS PAC ID | 5496091886 |
|---|---|
| Medicare Enrollment ID | O20190104002909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124596978 | NPI | - | NPPES |
| 1073775110 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Husameddin Elmesallati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073775110 PECOS PAC ID: 7113192220 Enrollment ID: I20111219000225 |
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