Provider Demographics
NPI:1316723646
Name:AIDA LOUDYI PLLC
Entity type:Organization
Organization Name:AIDA LOUDYI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIAILING
Authorized Official - Prefix:
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUDYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-782-3970
Mailing Address - Street 1:PO BOX 530815
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89053
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7905 SAHARA SUITE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117
Practice Address - Country:US
Practice Address - Phone:702-915-7856
Practice Address - Fax:702-915-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty