Individual
ELLIOT SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 243-8500
(702) 258-6152
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 243-8500
(702) 258-6152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12070
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510966
—
NV
05
—
1275554057
—
NV
Enumeration date
07/21/2006
Last updated
02/14/2014
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