Basic Information
| Provider Information | |||||||||
| NPI: | 1841289444 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EL-EID | ||||||||
| FirstName: | SOUZAN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 N STEPHANIE ST | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029523350 | ||||||||
| FaxNumber: | 7029523364 | ||||||||
| Practice Location | |||||||||
| Address1: | 9280 W SUNSET RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029521251 | ||||||||
| FaxNumber: | 7029521241 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2005 | ||||||||
| LastUpdateDate: | 07/19/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 1934571 | NY | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 1934571 | NY | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 208600000X | 11906 | NV | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.