Organization
CIDS FAMILY PRACTICE
Active
Parent organization
DHAVAL SHAH MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHAVAL SHAH MD PC
Authorized official
PAGE MCCALISTER (BILLING & CREDENTIALING MANAGER)
(725) 200-3232
Entity
Organization
Contact information
Practice address
2435 FIRE MESA ST STE 110, LAS VEGAS, NV 89128-9009
(725) 200-3242
(725) 200-3244
Mailing address
2435 FIRE MESA ST STE 120, LAS VEGAS, NV 89128-9009
(702) 968-2437
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
09/13/2017
Last updated
02/14/2019
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