Individual
SHAO-POW LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4101 WAGON TRAIL AVE, LAS VEGAS, NV 89118-4426
(702) 942-4123
(702) 942-4124
Mailing address
1 INDEPENDENCE PT STE 202, GREENVILLE, SC 29615-4536
(877) 406-2916
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
13082
NV
2085R0202X
Diagnostic Radiology Physician
2002013710
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669553954
—
NV
01
—
P00769702
RR MEDICARE
—
Enumeration date
10/17/2006
Last updated
01/11/2013
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