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NPI Code Detail

MEDICARE: DR. DHAVAL JASVANT SHAH M.D.

MEDICARE:  DR. DHAVAL JASVANT SHAH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician236694NY

General Provider Information

NPI Number : 1194711358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DHAVAL JASVANT SHAH M.D.
Provider Business Mailing Address
First Line : 2435 FIRE MESA ST
Second Line : SUITE 120
City : LAS VEGAS
State : NV
Zip : 89128-9009
Country : US
Telephone Number : 702-968-2437
Fax Number :
Provider Business Practice Location Address
First Line : 2435 FIRE MESA ST
Second Line : SUITE 120
City : LAS VEGAS
State : NV
Zip : 89128-9009
Country : US
Telephone Number : 702-968-2437
Fax Number : 702-479-1796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 09/20/2018

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