Individual
DR. SHILPA BHARAT THAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3150 N TENAYA WAY, SUITE 225, LAS VEGAS, NV 89128-0443
(702) 558-2111
(702) 558-8333
Mailing address
3075 RED ARROW DR, LAS VEGAS, NV 89135-1625
(702) 303-2076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13297
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13297
NV LIC
NV
Enumeration date
03/19/2007
Last updated
10/30/2012
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