MEDICARE: THOMAS A SHANG 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
1	2083X0100X	Occupational Medicine Physician	9129	NV
2	207Q00000X	Family Medicine Physician	9129	NV
3	209800000X	Legal Medicine (M.D./D.O.) Physician	9129	NV
4	207Q00000X	Family Medicine Physician	DR.0056727	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DR.0056727	OTHER	CO	CO LICENSE

General Provider Information

NPI Number	:	1760501795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS A SHANG M.D.

Provider Business Mailing Address
First Line	:	2626 S RAINBOW BLVD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-4005
Country	:	US
Telephone Number	:	702-370-5430
Fax Number	:	702-675-4501

Provider Business Practice Location Address
First Line	:	2626 S RAINBOW BLVD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-4005
Country	:	US
Telephone Number	:	702-370-5430
Fax Number	:	702-675-4501

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	06/15/2016

Similar Medicare Providers

1275930232 — DR. JONATHAN ROJJANASRIRAT D.C.
Practice Location Address:

2626 S RAINBOW BLVD , SUITE 107-109
LAS VEGAS, NV
89146-4005

Practice Phone: 702-675-4500
Practice Fax: 702-675-4501

1831691203 — TYLER MYRICK
Practice Location Address:

2626 S RAINBOW BLVD STE 107AND
LAS VEGAS, NV
89146-4005

Practice Phone: 702-675-4500
Practice Fax:

1245924497 — ALL STAR MEDICAL RESOURCES LLC
Practice Location Address:

2626 S RAINBOW BLVD # 203A
LAS VEGAS, NV
89146-4005

Practice Phone: 877-420-6372
Practice Fax:

1134940489 — ACTIVATE HOME HEALTH CARE LLC
Practice Location Address:

2626 S RAINBOW BLVD STE 203F
LAS VEGAS, NV
89146-4005

Practice Phone: 702-845-7292
Practice Fax: 702-209-0970

1770392995 — CREST VALLEY HOME HEALTH LLC
Practice Location Address:

2626 S RAINBOW BLVD STE 203E
LAS VEGAS, NV
89146-4005

Practice Phone: 702-377-5810
Practice Fax:

1649063744 — ENCORE MEDICAL HEALTH SERVICES LLC
Practice Location Address:

2626 S RAINBOW BLVD STE 203E
LAS VEGAS, NV
89146-4005

Practice Phone: 702-575-9558
Practice Fax:

Directions to “ THOMAS A SHANG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.