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Organization

RUSSELL J. SHAH MD LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL J SHAH M.D. (OWNER)
(702) 644-0500
Entity
Organization

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, SUITE A-425, HENDERSON, NV 89052-2982
(702) 644-0500
(702) 641-4600

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
03/03/2008
Last updated
03/04/2008
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