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NPI Code Detail

MEDICARE: JIONG SHI M.D.

MEDICARE: JIONG SHI 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
12084N0400XNeurology Physician32837AZ
22084N0400XNeurology Physician19627NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811005408
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIONG SHI M.D.
Provider Business Mailing Address
First Line : 888 W BONNEVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-0100
Country : US
Telephone Number : 702-483-6000
Fax Number : 702-483-6028
Provider Business Practice Location Address
First Line : 888 W BONNEVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-0100
Country : US
Telephone Number : 702-483-6000
Fax Number : 702-483-6028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 01/24/2022

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Directions to “ JIONG SHI M.D.” Practice Location

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