Shah, Kenneth Jayendra

Shah, Kenneth Jayendra is an individual health care provider with primary practice located at 2465 W Horizon Ridge Pkwy Suite 100, Henderson NV 89052-5952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shah, Kenneth Jayendra can be contacted via phone (702) 616-0500.

Contact Information

Primary practice address
2465 W Horizon Ridge Pkwy Suite 100 Henderson NV 89052-5952
Phone: (702) 616-0500
Fax: (702) 616-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8591 Nevada

Profile Details

NPI number 1992755946
LBN Legal business name Shah, Kenneth Jayendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992755946 NPPES
Nevada MEDICAID 002002434

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