MEDICARE: SHALEMAR ANN ABRAHAM KASAN MD

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	207R00000X	Internal Medicine Physician	24381	NV

General Provider Information

NPI Number	:	1235768904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALEMAR ANN ABRAHAM KASAN MD

Provider Business Mailing Address
First Line	:	2381 E WINDMILL LN STE 14
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2069
Country	:	US
Telephone Number	:	702-602-8232
Fax Number	:	877-707-4582

Provider Business Practice Location Address
First Line	:	2381 E WINDMILL LN STE 14
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2069
Country	:	US
Telephone Number	:	702-766-5474
Fax Number	:	877-707-4582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2020
Last Update Date	:	10/03/2023

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