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NPI Code Detail

MEDICARE: DR. MOHAMMED SHAFI M.D.

MEDICARE: DR. MOHAMMED SHAFI 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
1174400000XSpecialist7391NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CH1004OTHERNVRAILROAD MEDICARE

General Provider Information

NPI Number : 1740398270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMED SHAFI M.D.
Provider Business Mailing Address
First Line : 2700 CRIMSON CANYON DR
Second Line : STE 180
City : LAS VEGAS
State : NV
Zip : 89128-0802
Country : US
Telephone Number : 702-914-6555
Fax Number : 702-914-6556
Provider Business Practice Location Address
First Line : 2136 E DESERT INN RD
Second Line : SUITE A
City : LAS VEGAS
State : NV
Zip : 89109
Country : US
Telephone Number : 702-914-6555
Fax Number : 702-914-6556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 01/11/2008

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