Individual
SHAHAB MOKHTARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9811 W CHARLESTON BLVD, SUITE 2441, LAS VEGAS, NV 89117-7528
(702) 953-1576
Mailing address
9811 W CHARLESTON BLVD STE 2-441, LAS VEGAS, NV 89117-7528
(702) 420-7704
(702) 420-7704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NV13663
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL1758
NV MEDICAL LIC
NV
Enumeration date
07/06/2007
Last updated
12/03/2024
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