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NPI Code Detail

MEDICARE: SHALENE AMIN

MEDICARE: SHALENE AMIN
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
12084N0400XNeurology Physician302262NY
2208VP0014XInterventional Pain Medicine Physician302262NY
3208VP0014XInterventional Pain Medicine Physician26676NV

General Provider Information

NPI Number : 1538587506
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALENE AMIN
Provider Business Mailing Address
First Line : PO BOX 400670
Second Line :
City : LAS VEGAS
State : NV
Zip : 89140-0670
Country : US
Telephone Number : 702-940-8007
Fax Number : 702-832-1940
Provider Business Practice Location Address
First Line : 6064 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5350
Country : US
Telephone Number : 702-940-8007
Fax Number : 702-832-1940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2014
Last Update Date : 10/09/2025

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1215145792 — JAEMI KEITH M.D.
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1366737421 — ANDREW MICHAEL HALL M.D.
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1659782910 — HAROON ANDAR D.O.
Practice Location Address:
6064 S FORT APACHE RD STE 100
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Practice Fax: 702-832-1940

Directions to “ SHALENE AMIN ” Practice Location

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