Rose Adel Abdelmalak

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI 1194550384 · NPPES record last updated Sep 5, 2024

Key facts

NPI
1194550384
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1001 Shadow LN
Las Vegas, NV 89106-4124
Phone
(702) 774-2545
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Orthodontics Past
since Sep 8, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1001 Shadow LN
Las Vegas, NV 89106-4124

Mailing address

1001 Shadow LN
Las Vegas, NV 89106-4124

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Student in an Organized Health Care Education/Training Program in Nevada

Sources for this page

Verify at the official NPI Registry.