Organization
CLINICAL INFECTIOUS DISEASES SPECIALIST (ITANI) PC
Active
Organization
CLINICAL INFECTIOUS DISEASES SPECIALIST (ITANI) PC
Active
Other names
Clinical Infectious Diseases Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DHAVAL JASVANT SHAH (OWNER)
(702) 968-2437
Entity
Organization
Contact information
Practice address
2610 W HORIZON RIDGE PKWY, SUITE 103, HENDERSON, NV 89052-2869
(702) 586-0202
Mailing address
PO BOX 36830, LAS VEGAS, NV 89133-6830
(702) 487-7055
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
12305
NV
Other
Enumeration date
09/03/2015
Last updated
12/01/2020
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