MEDICARE: SHILPA B THAKER MD LTD

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	13297	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13297	OTHER	NV	NEVADA LIC

General Provider Information

NPI Number	:	1891010799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHILPA B THAKER MD LTD

Provider Business Mailing Address
First Line	:	3324 CANOE COVE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-6713
Country	:	US
Telephone Number	:	702-303-2076
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 N TENAYA WAY
Second Line	:	SUITE 225
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0443
Country	:	US
Telephone Number	:	702-558-2111
Fax Number	:	702-558-8333

Authorized Official
Title or Position	:	ACCOUNTS MGR
Name	:	LORI ANN LABRECQUE
Credential	:
Telephone Number	:	702-453-3799

Provider Enumeration Date	:	04/02/2010
Last Update Date	:	11/03/2011

Similar Medicare Providers

1174337497 — ANITA KUO FNP
Practice Location Address:

3150 N TENAYA WAY
LAS VEGAS, NV
89128-0443

Practice Phone: 702-696-7256
Practice Fax:

1245230242 — AVI A OSTROWSKY MD LTD
Practice Location Address:

3150 N TENAYA WAY , STE 440
LAS VEGAS, NV
89128-0443

Practice Phone: 702-360-9210
Practice Fax: 702-360-0008

1154323855 — DAVID DIXON DORWAY MD
Practice Location Address:

3150 N TENAYA WAY , #260
LAS VEGAS, NV
89128-0443

Practice Phone: 702-870-2099
Practice Fax: 702-407-0266

1073515680 — RICHARD WAYNE KLATT DO
Practice Location Address:

3150 N TENAYA WAY , STE 255
LAS VEGAS, NV
89128-0443

Practice Phone: 702-870-2099
Practice Fax: 702-869-5347

1952394371 — DR. SORAHI TOLOYAN-RAHIMI MD
Practice Location Address:

3150 N TENAYA WAY , SUITE 340
LAS VEGAS, NV
89128-0443

Practice Phone: 702-562-5619
Practice Fax: 702-562-5622

1033103908 — DR. ALI R RAHIMI MD
Practice Location Address:

3150 N TENAYA WAY , SUITE 271
LAS VEGAS, NV
89128-0443

Practice Phone: 702-562-5765
Practice Fax: 855-327-1927

1942299284 — JOSE H.T. AQUINO M.D.
Practice Location Address:

3150 N TENAYA WAY , STE.#320
LAS VEGAS, NV
89128-0443

Practice Phone: 702-240-6482
Practice Fax: 702-804-0957

Directions to “SHILPA B THAKER MD LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.