Provider Demographics
NPI:1225152572
Name:LOUDYI, AIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:AIDA
Middle Name:
Last Name:LOUDYI
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 1:5550 PAINTED MIRAGE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4581
Mailing Address - Country:US
Mailing Address - Phone:725-204-1474
Mailing Address - Fax:725-500-5049
Practice Address - Street 1:5550 PAINTED MIRAGE RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4581
Practice Address - Country:US
Practice Address - Phone:725-204-1474
Practice Address - Fax:725-500-5049
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13307207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV13307OtherNV MEDICAL LICENSE - PERMANENT
NVLL1661OtherMEDICAL LICENSE - TEMPORARY - INACTIVE
NVLL1661OtherMEDICAL LICENSE - TEMPORARY - INACTIVE