Individual
DR. KENNETH JAYENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2465 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89052-5952
(702) 616-0500
(702) 616-0505
Mailing address
700 E SILVERADO RANCH BLVD STE 170, LAS VEGAS, NV 89183-7518
(702) 240-6482
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8591
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002434
—
NV
Enumeration date
05/11/2006
Last updated
07/26/2022
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