Provider Demographics
NPI:1790857498
Name:GHALI, HANY F (MD)
Entity type:Individual
Prefix:
First Name:HANY
Middle Name:F
Last Name:GHALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3100 N TENAYA WAY
Mailing Address - Street 2:SUITE 440
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0436
Mailing Address - Country:US
Mailing Address - Phone:702-240-2963
Mailing Address - Fax:855-327-1927
Practice Address - Street 1:3100 N TENAYA WAY
Practice Address - Street 2:SUITE 440
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0436
Practice Address - Country:US
Practice Address - Phone:702-240-2963
Practice Address - Fax:855-327-1927
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2024-07-11
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Provider Licenses
StateLicense IDTaxonomies
UT12584505-1205207RC0200X, 207RP1001X
NV14171207RP1001X, 207RS0012X, 207RC0200X
NY234838207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1790857498Medicaid