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NPI Code Detail

MEDICARE: FREYA SHROFF

MEDICARE: FREYA SHROFF
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1699302323
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREYA SHROFF
Provider Business Mailing Address
First Line : 1701 W CHARLESTON BLVD STE 670
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2343
Country : US
Telephone Number : 702-870-7588
Fax Number :
Provider Business Practice Location Address
First Line : 1701 W CHARLESTON BLVD STE 670
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2343
Country : US
Telephone Number : 702-870-7588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 03/24/2020

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Directions to “ FREYA SHROFF ” Practice Location

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