Individual
TANIA AL SHAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4445 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-7851
(702) 410-5319
Mailing address
6040 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5613
(702) 476-4900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20796
NV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20796
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669825774
—
NV
01
—
20796
NEVADA MEDICAL LICENSE
NV
Enumeration date
07/14/2016
Last updated
11/18/2022
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