Provider Demographics
NPI:1477870285
Name:JILANI, JAWAD A (DO)
Entity Type:Individual
Prefix:
First Name:JAWAD
Middle Name:A
Last Name:JILANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 MCDANIEL STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:N. LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-2902
Mailing Address - Country:US
Mailing Address - Phone:702-633-0207
Mailing Address - Fax:702-633-5099
Practice Address - Street 1:5440 W SAHARA AVE STE 302
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0355
Practice Address - Country:US
Practice Address - Phone:702-633-0207
Practice Address - Fax:702-633-5099
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO1849207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine