Organization
BROCKWELL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASNAIN HAIDER SHAH MD (OWNER)
(734) 316-2268
Entity
Organization
Contact information
Practice address
8879 W FLAMINGO RD STE 201, LAS VEGAS, NV 89147-8733
(702) 673-6505
Mailing address
8879 W FLAMINGO RD STE 201, LAS VEGAS, NV 89147-8733
(702) 673-6505
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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