Individual
THOMAS A SHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2626 S RAINBOW BLVD, SUITE 107, LAS VEGAS, NV 89146-4005
(702) 370-5430
(702) 675-4501
Mailing address
2626 S RAINBOW BLVD, SUITE 107, LAS VEGAS, NV 89146-4005
(702) 370-5430
(702) 675-4501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9129
NV
207Q00000X
Family Medicine Physician
DR.0056727
CO
2083X0100X
Occupational Medicine Physician
9129
NV
209800000X
Legal Medicine (M.D./D.O.) Physician
9129
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0056727
CO LICENSE
CO
Enumeration date
03/29/2007
Last updated
06/15/2016
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