MEDICARE: NEPHROLOGY & ENDOCRINE ASSOCIATES INC

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1689175333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEPHROLOGY & ENDOCRINE ASSOCIATES INC

Provider Business Mailing Address
First Line	:	1294 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146
Country	:	US
Telephone Number	:	702-877-1887
Fax Number	:	702-877-0470

Provider Business Practice Location Address
First Line	:	7326 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6201
Country	:	US
Telephone Number	:	702-877-1887
Fax Number	:	702-877-0470

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SYED SHAH
Credential	:	MD
Telephone Number	:	702-877-1887

Provider Enumeration Date	:	02/27/2018
Last Update Date	:	03/06/2025

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