Individual
SHANKAR PERVAJE BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 E CALVADA BLVD STE 200, PAHRUMP, NV 89048-5852
(775) 751-4600
(775) 751-2094
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8056
NV
208D00000X
General Practice Physician
MD 6815
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639156037
—
NV
Enumeration date
12/27/2005
Last updated
03/17/2018
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