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NPI Code Detail

MEDICARE: TAPAN R SHAH, MD, LTD

MEDICARE: TAPAN R SHAH, 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
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1902903503
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAPAN R SHAH, MD, LTD
Provider Business Mailing Address
First Line : 3100 W CHARLESTON BLVD
Second Line : #200
City : LAS VEGAS
State : NV
Zip : 89102-1900
Country : US
Telephone Number : 702-258-2020
Fax Number : 702-258-3681
Provider Business Practice Location Address
First Line : 3100 W CHARLESTON BLVD
Second Line : #200
City : LAS VEGAS
State : NV
Zip : 89102-1900
Country : US
Telephone Number : 702-258-2020
Fax Number : 702-258-3681
Authorized Official
Title or Position : OWNER
Name : TAPAN R SHAH
Credential : MD
Telephone Number : 702-258-2020
Provider Enumeration Date : 09/18/2006
Last Update Date : 08/22/2020

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Directions to “TAPAN R SHAH, MD, LTD ” Practice Location

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