Individual
SHADI NIJIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1294 S JONES BLVD, LAS VEGAS, NV 89146-4844
(702) 877-1877
(702) 877-4536
Mailing address
1294 S JONES BLVD, LAS VEGAS, NV 89146-4844
(702) 877-1877
(702) 877-4536
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
16261
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942363791
—
NV
Enumeration date
12/19/2006
Last updated
01/26/2024
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