OrganizationActive
Infectious Disease Providers of Nevada Ltd
NPI 1700530250 · Infectious Disease Physician · Henderson, NV
Provider details
- NPI number
- 1700530250
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Todd Radivan, Managing Director(702) 307-5522
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2900 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5014
Phone: (702) 307-5522
Fax: (702) 991-7258
Approximate (ZIP-level) locationGet directions
Mailing address
2900 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5014
Registry dates
- Enumerated
- 2022-02-03
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.