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Individual

LATA K SHETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5701 W CHARLESTON BLVD, STE 100, LAS VEGAS, NV 89146-1217
(702) 877-9514
(702) 312-3510
Mailing address
5701 W CHARLESTON BLVD, STE 100, LAS VEGAS, NV 89146-1217
(702) 877-9514
(702) 312-3510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3779
NV
207RN0300X
Nephrology Physician
Primary
3779
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002002264
NV
05
1326036005
NV
01
XPY003980
MEDI CAL
CA
Enumeration date
10/07/2005
Last updated
01/15/2021
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