Healthcare Provider Details

I. General information

NPI: 1962447383
Provider Name (Legal Business Name): ROTHSTEIN AND SHAPIRO MDS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 GREEN VISTA DR 109
SPARKS NV
89431-8544
US

IV. Provider business mailing address

2135 GREEN VISTA DR 109
SPARKS NV
89431-8544
US

V. Phone/Fax

Practice location:
  • Phone: 775-359-5010
  • Fax: 775-359-5076
Mailing address:
  • Phone: 775-359-5010
  • Fax: 775-359-5076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number2739
License Number StateNV

VIII. Authorized Official

Name: DR. BORIS LOKSHIN
Title or Position: OWNER
Credential: M.D.
Phone: 775-747-5050