# BROCKWELL HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275481822
- **Authorized official:** DR. HASNAIN HAIDER SHAH MD (OWNER)
- **Authorized official phone:** (734) 316-2268

## Contact information

- **Practice address:** 8879 W FLAMINGO RD STE 201, LAS VEGAS, NV 89147-8733
- **Practice address phone:** (702) 673-6505
- **Mailing address:** 8879 W FLAMINGO RD STE 201, LAS VEGAS, NV 89147-8733
- **Mailing address phone:** (702) 673-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/19/2026
- **Last updated:** 03/19/2026