Male or Other

Vipul A. Shah M.D.

Nephrology Physician in Las Vegas, NV(View on Map)

Full Name

Vipul Ashok Shah M.D.

NPI Number

1588872139

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/18/2007

Specialties

(Taxonomies)

Code

207RN0300X

Primary Taxonomy

Yes

Licenses

State

Nevada

License Number

12988

Contact
Information

Purpose

Mailing
Location

Address

1294 S JONES BLVD
1294 S JONES BLVD

City

Las Vegas
Las Vegas

State

NV
NV

Postal Code

89146
89146

Country

US
US

Telephone Number

(702) 877-1887
(702) 877-1887

Identifiers

Identifier

1588872139

Identifier State

NV

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/25/2024

Provider Address

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