Provider Demographics
NPI:1679662688
Name:KASHEF, GHULAM HOSSEIN (MD)
Entity Type:Individual
Prefix:
First Name:GHULAM
Middle Name:HOSSEIN
Last Name:KASHEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N STEPHANIE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6692
Mailing Address - Country:US
Mailing Address - Phone:702-952-3350
Mailing Address - Fax:702-952-3365
Practice Address - Street 1:10001 S EASTERN AVE STE 108
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-952-3444
Practice Address - Fax:702-952-3494
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXME5786207RX0202X
NV12706207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXW0150161OtherDPS
TXW0150161OtherDPS
TX8F7177Medicare PIN
H61318Medicare UPIN