Organization
K. SHAH M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J. SHAH M.D. (PRESIDENT)
(702) 616-0500
Entity
Organization
Contact information
Practice address
2465 W HORIZON RIDGE PKWY, SUITE #140, HENDERSON, NV 89052-2649
(702) 616-0500
(702) 616-0505
Mailing address
2465 W HORIZON RIDGE PKWY, SUITE #140, HENDERSON, NV 89052-2649
(702) 616-0500
(702) 616-0505
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8591
NV
Other
Enumeration date
07/10/2006
Last updated
12/27/2007
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