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NPI Code Detail

MEDICARE: ADEL R SHEHATA M.D.

MEDICARE:   ADEL R SHEHATA  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
1207RI0011XInterventional Cardiology Physician8985NV

General Provider Information

NPI Number : 1528027729
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADEL R SHEHATA M.D.
Provider Business Mailing Address
First Line : 4275 BURNHAM AVE
Second Line : SUITE 220
City : LAS VEGAS
State : NV
Zip : 89119-5488
Country : US
Telephone Number : 702-734-0808
Fax Number : 702-734-2650
Provider Business Practice Location Address
First Line : 4275 BURNHAM AVE
Second Line : SUITE 220
City : LAS VEGAS
State : NV
Zip : 89119-5488
Country : US
Telephone Number : 702-734-0808
Fax Number : 702-734-2650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 08/25/2020

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Directions to “ ADEL R SHEHATA M.D.” Practice Location

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