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NINA VANDAM
NPI 1215793989
Dermatology - Clinical & Laboratory Dermatological Immunology in North Las Vegas, NV

Active since February 21, 2024
6935 ALIANTE PARKWAY, #104-240, NORTH LAS VEGAS, NV 89084(858) 361-9860 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nina Vandam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINA VANDAM (NPI 1215793989) is an individual clinical & laboratory dermatological immunology provider in North Las Vegas, Nevada, licensed in California (G35511) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1215793989
Entity TypeIndividualFemale
Primary Taxonomy207NI0002X
Provider Legal NameNINA VANDAM
Location Address6935 ALIANTE PARKWAY, #104-240North Las Vegas, NV 89084
Mailing Address6935 Aliante Parkway, #104-240North Las Vegas, NV 89084 · (858) 361-9860
Phone(858) 361-9860
Sole ProprietorYes
Enumeration DateFebruary 21, 2024
✔ NPI 1215793989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License✔ Licensed in CA · G35511
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
6935 ALIANTE PARKWAY, North Las Vegas, NV 89084
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Other Names 1

Professional Name (2)Nina Ning Su M.d.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nina Vandam's NPI number?

The NPI number for Nina Vandam is 1215793989. It was assigned to this individual provider in the NPPES registry on February 21, 2024. The provider is also known as Nina Ning Su M.D..

Where is Nina Vandam located?

Nina Vandam practices at 6935 Aliante Parkway #104-240, North Las Vegas, NV 89084. The listed phone number is (858) 361-9860.

What is Nina Vandam's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

When was this NPI record last updated?

The NPPES record for Nina Vandam was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.