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NPI Code Detail

MEDICARE: DR. SHAUKAT SHAMSUDIN DAMJI M.D

MEDICARE: DR. SHAUKAT SHAMSUDIN DAMJI M.D
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
1207R00000XInternal Medicine Physician7362NV

General Provider Information

NPI Number : 1063475770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAUKAT SHAMSUDIN DAMJI M.D
Provider Business Mailing Address
First Line : 6070 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5615
Country : US
Telephone Number : 702-803-5534
Fax Number : 888-977-1206
Provider Business Practice Location Address
First Line : 6070 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5615
Country : US
Telephone Number : 702-803-5534
Fax Number : 888-977-1206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 04/10/2024

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