Provider Demographics
NPI:1609038363
Name:ELCONSUL, HAITHAM A (MD)
Entity Type:Individual
Prefix:MR
First Name:HAITHAM
Middle Name:A
Last Name:ELCONSUL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#215
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-2355
Mailing Address - Fax:702-382-5388
Practice Address - Street 1:1800 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2329
Practice Address - Country:US
Practice Address - Phone:702-671-2345
Practice Address - Fax:702-671-2376
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2012-08-02
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Provider Licenses
StateLicense IDTaxonomies
NV13932208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist