MEDICARE: SHARI KLEIN DO A PROFESSIONAL CORPORATION

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1003064049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARI KLEIN DO A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1930 VILLAGE CENTER CIR # 3-968
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6238
Country	:	US
Telephone Number	:	702-545-0283
Fax Number	:	702-545-0285

Provider Business Practice Location Address
First Line	:	8571 W LAKE MEAD BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7665
Country	:	US
Telephone Number	:	702-545-0283
Fax Number	:	702-545-0285

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHARI KLEIN
Credential	:	D.O.
Telephone Number	:	702-545-0283

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	07/06/2015

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