Individual
SUPARNA N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5320 S RAINBOW BLVD STE 250, LAS VEGAS, NV 89118-1807
(702) 671-6480
(702) 671-6481
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-2315
(702) 895-1014
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23056
NV
207Y00000X
Otolaryngology Physician
MD198475
OR
Other
Enumeration date
06/03/2015
Last updated
12/08/2022
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