Provider Demographics
NPI:1366191645
Name:WAHLA, ZAIN (MBBS)
Entity type:Individual
Prefix:DR
First Name:ZAIN
Middle Name:
Last Name:WAHLA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:DR
Other - First Name:ZAIN
Other - Middle Name:
Other - Last Name:UL ABIDDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:1701 W CHARLESTON BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2312
Mailing Address - Country:US
Mailing Address - Phone:702-660-8658
Mailing Address - Fax:
Practice Address - Street 1:1701 W CHARLESTON BLVD STE 230
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2312
Practice Address - Country:US
Practice Address - Phone:702-660-8658
Practice Address - Fax:702-676-3635
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program