Individual
DR. MICHAEL SHAMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 PALOMINO LN STE 100, LAS VEGAS, NV 89106
(702) 759-8600
(702) 384-1815
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17590
NV
2085R0202X
Diagnostic Radiology Physician
35130234
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720335177
—
NV
Enumeration date
08/04/2012
Last updated
07/25/2018
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