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Individual

DIPTI R SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2628 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2176
(702) 644-0500
(702) 641-4600
Mailing address
10624 S EASTERN AVE STE A-425, HENDERSON, NV 89052-2982
(702) 644-0500
(702) 641-4600

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12211
NV
207RN0300X
Nephrology Physician
A068874
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0090830
CA
Enumeration date
11/08/2006
Last updated
02/05/2008
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