Provider Demographics
NPI:1093793697
Name:HAROUNI, RAMA (MD)
Entity Type:Individual
Prefix:
First Name:RAMA
Middle Name:
Last Name:HAROUNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8960 W TROPICANA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8161
Mailing Address - Country:US
Mailing Address - Phone:702-385-9505
Mailing Address - Fax:702-660-2235
Practice Address - Street 1:8960 W TROPICANA AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8161
Practice Address - Country:US
Practice Address - Phone:702-385-9505
Practice Address - Fax:702-660-2235
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10867207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500484Medicaid
NV100500484Medicaid
NVWQBHVMedicare ID - Type UnspecifiedGROUP MEDICARE
NE100503749Medicare ID - Type UnspecifiedNV MEDICAID
NV100500484Medicaid
NVH80360Medicare UPIN