Individual
DR. GARY K SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(702) 671-5150
(702) 384-6493
Mailing address
PO BOX 516588, LOS ANGELES, CA 90051-0598
(702) 671-6406
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
9317
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013995737
—
NV
01
—
CS09763
PHARMACY/CDS
NV
01
—
V52007
PTAN
NV
Enumeration date
01/03/2006
Last updated
03/07/2023
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