Provider Demographics
NPI:1588893689
Name:FABITO ANESTHESIA & PAIN SPECIALISTS PC
Entity type:Organization
Organization Name:FABITO ANESTHESIA & PAIN SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:FABITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-556-6943
Mailing Address - Street 1:1748 W. HORIZON RIDGE PKWY.
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4833
Mailing Address - Country:US
Mailing Address - Phone:702-982-1300
Mailing Address - Fax:702-728-5661
Practice Address - Street 1:1748 W. HORIZON RIDGE PKWY.
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-4833
Practice Address - Country:US
Practice Address - Phone:702-982-1300
Practice Address - Fax:702-728-5661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12222174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1942232475OtherINDIVIDUAL NPI#
NV2129027Medicaid
NVCE812ZMedicare PIN
NV165943Medicare UPIN
NVCD845AMedicare PIN
NV1942232475OtherINDIVIDUAL NPI#