MEDICARE: SHEREEN KHALID MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	24305	NV
2	207Q00000X	Family Medicine Physician	28389	MS

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	24305	OTHER	NV	STATE LICENSE

NPI Number	:	1902478597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEREEN KHALID MD

Provider Business Mailing Address
First Line	:	1240 NORTH MARTIN LUTHER KING BLVD.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106
Country	:	US
Telephone Number	:	702-967-0530
Fax Number	:	702-967-0538

Provider Business Practice Location Address
First Line	:	1240 N MARTIN LUTHER KING BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2825
Country	:	US
Telephone Number	:	702-967-0530
Fax Number	:	702-967-0538

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

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	05/28/2026

1240 N MARTIN LUTHER KING BLVD
LAS VEGAS, NV
89106-2825

Practice Phone: 702-967-0530
Practice Fax: 702-967-0538

1240 N MARTIN LUTHER KING BLVD
LAS VEGAS, NV
89106-2825