MEDICARE: ASHER SHAHZAD 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
1	207R00000X	Internal Medicine Physician	51794-20	WI
2	207R00000X	Internal Medicine Physician	20790	MS
3	207R00000X	Internal Medicine Physician	202702	LA
4	207RI0200X	Infectious Disease Physician	13790	NV

General Provider Information

NPI Number	:	1457519332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHER SHAHZAD M.D

Provider Business Mailing Address
First Line	:	PO BOX 530815
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89053-0815
Country	:	US
Telephone Number	:	702-487-7055
Fax Number	:	702-991-7258

Provider Business Practice Location Address
First Line	:	1200 S 4TH ST STE 111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-1046
Country	:	US
Telephone Number	:	702-380-8118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	01/14/2025

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