MEDICARE: DR. AMIR SHALEV D.P.M

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	213ES0103X	Foot & Ankle Surgery Podiatrist	0304	NV

General Provider Information

NPI Number	:	1326287806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIR SHALEV D.P.M

Provider Business Mailing Address
First Line	:	6935 ALIANTE PKWY STE 104-227
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-5818
Country	:	US
Telephone Number	:	702-248-3668
Fax Number	:	888-863-8533

Provider Business Practice Location Address
First Line	:	2701 N TENAYA WAY STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0480
Country	:	US
Telephone Number	:	702-248-3668
Fax Number	:	702-256-0387

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

Provider Enumeration Date	:	02/06/2009
Last Update Date	:	12/08/2020

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