MEDICARE: SHADABA ASAD 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	207RI0200X	Infectious Disease Physician	C54953	CA
2	207RI0200X	Infectious Disease Physician	14721	NV

General Provider Information

NPI Number	:	1700815651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHADABA ASAD MD

Provider Business Mailing Address
First Line	:	1800 W. CHARLESTON BLVD. STE. 508
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102
Country	:	US
Telephone Number	:	702-383-3982
Fax Number	:	702-671-6595

Provider Business Practice Location Address
First Line	:	701 SHADOW LN STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4133
Country	:	US
Telephone Number	:	702-383-1919
Fax Number	:

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	06/11/2025

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Directions to “ SHADABA ASAD MD” Practice Location

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