Organization
VASCULAR INSTITUTE OF SOUTHERN
Active
Other names
Kenneth J. Shah, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J. SHAH M.D. (PRESIDENT)
(702) 616-0500
Entity
Organization
Contact information
Practice address
2465 W HORIZON RIDGE PKWY, SUITE #100, HENDERSON, NV 89052-2649
(702) 616-0500
(702) 616-0505
Mailing address
2465 W HORIZON RIDGE PKWY, SUITE #100, HENDERSON, NV 89052-2649
(702) 616-0500
(702) 616-0505
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8591
NV
Other
Enumeration date
05/27/2006
Last updated
05/10/2022
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