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NPI Code Detail

MEDICARE: DUKE P SHEN DO, MENG

MEDICARE: DUKE P SHEN DO, MENG
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
1208VP0014XInterventional Pain Medicine Physician20A24934CA
2208100000XPhysical Medicine & Rehabilitation PhysicianSL2043NV
3390200000XStudent in an Organized Health Care Education/Training ProgramSL2043NV

General Provider Information

NPI Number : 1275279770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUKE P SHEN DO, MENG
Provider Business Mailing Address
First Line : 2880 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0618
Country : US
Telephone Number : 702-962-9564
Fax Number :
Provider Business Practice Location Address
First Line : 3100 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-962-9564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2022
Last Update Date : 04/28/2026

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Directions to “ DUKE P SHEN DO, MENG” Practice Location

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