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Individual

DR. RITA GHUTAI SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
701 SHADOW LN, STE 200, LAS VEGAS, NV 89106-4195
(702) 383-2691
(702) 388-4114
Mailing address
701 SHADOW LN, STE 200, LAS VEGAS, NV 89106-4195
(702) 383-2691
(702) 388-4114

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
15366
NV
2080P0208X
Pediatric Infectious Diseases Physician
Primary
15366
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265688105
NV
Enumeration date
08/12/2008
Last updated
08/06/2021
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