Organization
SHELDON W PAUL, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BAKER (OFFICE MANAGER)
(702) 438-4692
Entity
Organization
Contact information
Practice address
517 ROSE ST, LAS VEGAS, NV 89106-4020
(702) 438-4692
Mailing address
517 ROSE ST, LAS VEGAS, NV 89106-4020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9007
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018263
—
NV
01
—
33313
MEDICARE PROVIDER ID
NV
Enumeration date
03/14/2013
Last updated
03/14/2013
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