Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 38555 | WI |
Y | 2084N0400X | Neurologist | 9739 | NV |
N | 2084N0600X | Clinical Neurophysiologist | 9739 | NV |
NPI | 1477558674 |
---|---|
Provider Name | Shanker N Dixit |
First Address | Las Vegas, NV 89133-3340 |
Second Address | Las Vegas, NV 89128-0838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 04/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002018281 | (05) | NV |
32358700 | (05) | WI |