Shahrouz Shadrou M.D.
Nephrology Physician in Las Vegas, NV(View on Map)
Full Name
Shahrouz Shadrou M.D.
NPI Number
1154534709
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/08/2007
Specialties
(Taxonomies)Code
207RN0300X
208M00000X
207R00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Nevada
Pennsylvania
Pennsylvania
License Number
14655
MD438178
MT189457
Contact
Information
Purpose
Mailing
Location
Address
2820 W CHARLESTON BLVD STE 33
2820 W CHARLESTON BLVD STE 33
City
Las Vegas
Las Vegas
State
NV
NV
Postal Code
89102-1934
89102-1934
Country
US
US
Telephone Number
(702) 880-1558
(702) 880-1558
Identifiers
Identifier
1154534709
Identifier State
NV
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2020
Provider Address
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