Individual
DR. SHUBHANG N MAZUMDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3800
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19297
GA
207R00000X
Internal Medicine Physician
42826
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000266791B
—
GA
Enumeration date
01/27/2006
Last updated
03/06/2018
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