Provider Demographics
NPI:1962472050
Name:NNADI, EVARISTA C (MD)
Entity type:Individual
Prefix:DR
First Name:EVARISTA
Middle Name:C
Last Name:NNADI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2410 FIRE MESA ST
Mailing Address - Street 2:#180
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9016
Mailing Address - Country:US
Mailing Address - Phone:702-992-6888
Mailing Address - Fax:702-992-6880
Practice Address - Street 1:2410 FIRE MESA ST
Practice Address - Street 2:#180
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9016
Practice Address - Country:US
Practice Address - Phone:702-992-6888
Practice Address - Fax:702-992-6880
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NV10975207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCS99999OtherPHARMACY/CDS
NVCS99999OtherPHARMACY/CDS