Dipti R Shah
Nephrologist
2628 W Charleston Blvd
Las Vegas
, Nevada 89102-2176
Dipti R Shah
Nephrologist
2628 W Charleston Blvd
Las Vegas
, Nevada 89102-2176
(702) 641-4600
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dipti R Shah
- 10624 S Eastern Ave Ste A-425
- Henderson, NV
- Zip : 89052-2982
- Fax : (702) 641-4600
- Phone : (702) 644-0500
Second Address
- Dipti R Shah
- 2628 W Charleston Blvd
- Las Vegas, NV
- Zip : 89102-2176
- Fax : (702) 641-4600
- Phone : (702) 644-0500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 12211 | NV |
| N | 207RN0300X | Nephrologist | A068874 | CA |
National Provider Identifier
| NPI | 1023188125 |
|---|---|
| Provider Name | Dipti R Shah |
| First Address | Henderson, NV 89052-2982 |
| Second Address | Las Vegas, NV 89102-2176 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2006 |
| Last Update Date | 05/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| GR0090830 | (05) | CA |
| H10906 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.