MEDICARE: USA RESOURCES

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

General Provider Information

NPI Number	:	1720635535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA RESOURCES

Provider Business Mailing Address
First Line	:	6935 ALIANTE PKWY STE 104-227
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5818
Country	:	US
Telephone Number	:
Fax Number	:

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	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AMIR SHALEV
Credential	:	MD
Telephone Number	:	702-248-3668

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	12/08/2020

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Directions to “USA RESOURCES ” Practice Location

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