Shah, Russell J

Shah, Russell J is an individual health care provider with primary practice located at 2628 W Charleston Blvd , Las Vegas NV 89102-2176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shah, Russell J can be contacted via phone (702) 644-0500.

Contact Information

Primary practice address
2628 W Charleston Blvd Las Vegas NV 89102-2176
Phone: (702) 644-0500
Fax: (702) 641-4600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A73247 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10954 Nevada

Profile Details

NPI number 1346324092
LBN Legal business name Shah, Russell J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 26th, 2008 - about 17 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 1346324092 NPPES
California MEDICAID GR0090830

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