Individual
SHARIS SHAMIRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-8436
(702) 388-8431
Mailing address
10047 SULLY DR, SUN VALLEY, CA 91352-4270
(818) 669-8011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21222
CA
207R00000X
Internal Medicine Physician
SL1348
NV
Other
Enumeration date
05/21/2018
Last updated
02/29/2024
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