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NPI Code Detail

MEDICARE: AANSHU AGGARWAL SHAH M.D.

MEDICARE: AANSHU AGGARWAL SHAH 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
12085R0202XDiagnostic Radiology Physician9399NV

General Provider Information

NPI Number : 1134129893
Entity Type Code : Individual
Provider Name (Legal Business Name) : AANSHU AGGARWAL SHAH M.D.
Provider Business Mailing Address
First Line : PO BOX 36900
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-6900
Country : US
Telephone Number : 702-732-6000
Fax Number : 702-243-7531
Provider Business Practice Location Address
First Line : 2950 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2204
Country : US
Telephone Number : 702-732-6000
Fax Number : 702-243-7531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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