Organization
YAKOV D SHAPOSHNIKOV MD, PC
Active
Parent organization
YAKOV D SHAPOSHNIKOV MD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAKOV D SHAPOSHNIKOV MD, PC
Authorized official
DR. YAKOV SHAPOSHNIKOV MD (OWNER)
(702) 737-3337
Entity
Organization
Contact information
Practice address
2020 WELLNESS WAY, SUITE 406, LAS VEGAS, NV 89106-4000
(702) 737-3337
(702) 737-3965
Mailing address
8617 ROBINSON RIDGE DR, LAS VEGAS, NV 89117-5807
(702) 737-3337
(702) 737-3965
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8002
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019051
—
NV
Enumeration date
11/15/2012
Last updated
06/16/2018
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