Basic Information
Provider Information
NPI: 1427290626
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAHAS
FirstName: ELIF
MiddleName: L.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: AKIN
OtherFirstName: ELIF
OtherMiddleName: L.
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 4230 BURNHAM AVE
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891195408
CountryCode: US
TelephoneNumber: 7027337866
FaxNumber: 7027124390
Practice Location
Address1: 4230 BURNHAM AVE
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891195408
CountryCode: US
TelephoneNumber: 7027337866
FaxNumber: 7027124390
Other Information
ProviderEnumerationDate: 04/02/2009
LastUpdateDate: 12/08/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X35.126170OHY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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