Provider Demographics
NPI:1972946994
Name:NABIL JOUNI MD PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:NABIL JOUNI MD PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOUNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-000-0000
Mailing Address - Street 1:4045 S BUFFALO DR
Mailing Address - Street 2:STE A101, 159
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-7479
Mailing Address - Country:US
Mailing Address - Phone:702-000-0000
Mailing Address - Fax:
Practice Address - Street 1:4045 S BUFFALO DR
Practice Address - Street 2:STE A101, 159
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-7479
Practice Address - Country:US
Practice Address - Phone:702-000-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVHJ643AMedicare PIN