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NPI Code Detail

MEDICARE: SHELDON W PAUL, MD PC

MEDICARE: SHELDON W PAUL, MD PC
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
1174400000XSpecialist9007NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
233313OTHERNVMEDICARE PROVIDER ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225379274
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHELDON W PAUL, MD PC
Provider Business Mailing Address
First Line : 517 ROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 517 ROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4020
Country : US
Telephone Number : 702-438-4692
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : KIM BAKER
Credential :
Telephone Number : 702-438-4692
Provider Enumeration Date : 03/14/2013
Last Update Date : 03/14/2013

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Directions to “SHELDON W PAUL, MD PC ” Practice Location

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