Individual
DR. BEHROOZ KEVIN SHAMLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3022 S DURANGO DR STE 100, LAS VEGAS, NV 89117-4440
(702) 256-3637
(702) 256-3307
Mailing address
7391 W CHARLESTON BLVD, STE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13639
NV
207RH0003X
Hematology & Oncology Physician
13639
NV
207RX0202X
Medical Oncology Physician
Primary
13639
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5153188
CIGNA
NV
01
—
9285669
AETNA
NV
Enumeration date
06/03/2008
Last updated
05/14/2019
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