Individual
SHAHROUZ SHADROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2820 W CHARLESTON BLVD STE 33, LAS VEGAS, NV 89102-1934
(702) 880-1558
(702) 870-6821
Mailing address
2820 W CHARLESTON BLVD STE 33, LAS VEGAS, NV 89102-1934
(702) 880-1558
(702) 870-6821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT189457
PA
207RN0300X
Nephrology Physician
Primary
14655
NV
208M00000X
Hospitalist Physician
MD438178
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154534709
—
NV
Enumeration date
05/08/2007
Last updated
07/08/2020
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