Provider Demographics
NPI:1780167700
Name:MELLITI, SAIFALLAH
Entity type:Individual
Prefix:
First Name:SAIFALLAH
Middle Name:
Last Name:MELLITI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9748 GILESPIE ST STE 330
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7618
Mailing Address - Country:US
Mailing Address - Phone:725-241-8802
Mailing Address - Fax:702-405-0625
Practice Address - Street 1:9748 GILESPIE ST STE 330
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7618
Practice Address - Country:US
Practice Address - Phone:725-241-8802
Practice Address - Fax:702-405-0625
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist