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NPI Code Detail

MEDICARE: DR. SHAMSHUDIN KHERANI DDS

MEDICARE: DR. SHAMSHUDIN KHERANI DDS
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
11223G0001XGeneral Practice Dentistry5735NV
21223G0001XGeneral Practice Dentistry57908CA

General Provider Information

NPI Number : 1841587425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAMSHUDIN KHERANI DDS
Provider Business Mailing Address
First Line : 9804 MOONRIDGE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-6737
Country : US
Telephone Number : 650-204-0726
Fax Number : 702-202-2506
Provider Business Practice Location Address
First Line : 1401 HILLSHIRE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-6365
Country : US
Telephone Number : 650-204-0726
Fax Number : 702-202-2506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2011
Last Update Date : 07/05/2011

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