1285049346 NPI number — EVA MUSTAFA ALNAJJAR MD

Table of content: EVA MUSTAFA ALNAJJAR MD (NPI 1285049346)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285049346 NPI number — EVA MUSTAFA ALNAJJAR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALNAJJAR
Provider First Name:
EVA
Provider Middle Name:
MUSTAFA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285049346
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/08/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8906 SPANISH RIDGE AVE STE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89148-1319
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-330-3102
Provider Business Mailing Address Fax Number:
702-912-4994

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
653 N TOWN CENTER DR STE 317
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89144-0504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-997-6737
Provider Business Practice Location Address Fax Number:
702-997-6696
Provider Enumeration Date:
06/27/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  19736 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 103406400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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