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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