SHAHROUZ SHADROU (NPI# 1154534709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154534709 |
| Entity Type | Individual |
| Full Name | SHAHROUZ SHADROU |
| Credential | M.D. |
| Practice Address |
2820 W Charleston Blvd Ste 33 Las Vegas NV 89102-1934 |
| Practice Telephone | 7028801558 |
| Practice Fax Number | 7028706821 |
| Mailing Telephone | 7028801558 |
| Mailing Fax Number | 7028706821 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT189457 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
14655 | NV | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD438178 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1154534709 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2810 W Charleston Blvd, Suite E-47, Las Vegas, NV 891021921 | 7028801558 |
| Street Address |
2820 W CHARLESTON BLVD STE 33 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174581748 | Mark Herbert Barney | Internal Medicine | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2006-05-03 |
| 1548800360 | Marylou Vergara Valdez | Nurse Practitioner | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2020-01-09 |
| 1720505381 | Faith Marie Nepomuceno Unite | Nurse Practitioner | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2017-08-24 |
| 1457883316 | Alberto Pangan Santos | Nurse Practitioner | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2017-03-30 |
| 1538509971 | Zaid Issa Haddad | Internal Medicine | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2013-06-30 |
| 1780861849 | George Baramidze | Internal Medicine | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2008-01-30 |
| 1578602579 | Jessie M Piceno | Internal Medicine | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2007-02-06 |
| 1679630743 | Suresh Kumar Makhija | Internal Medicine | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2007-01-01 |
| 1548330046 | Qazi Makhija & Barney LLP | Internal Medicine | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2006-11-09 |
| 1659467769 | Mark J Adaimy | Internal Medicine | 2820 W Charleston Blvd Ste 33, Las Vegas, NV 89102-1934 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689850695 | Rui Yu | Internal Medicine | 2425 N Lamb Blvd Ste 120, Las Vegas, NV 89115-5420 | 2008-01-21 |
| 1689870487 | Maria Diana Vornicu | Internal Medicine | 1581 Mount Mariah Dr Ste 150, Las Vegas, NV 89106-1502 | 2007-06-27 |
| 1093911430 | Las Vegas Kidney Specialists Janga LLP | Internal Medicine | 5945 S Rainbow Boulevard, Suite 140, Las Vegas, NV 89118 | 2007-06-22 |
| 1801902234 | The Nevada Medical Group | Internal Medicine | 2200 W. Horizon Ridge Parkway, Suite F, Las Vegas, NV 89052-2637 | 2006-08-21 |
| 1447280524 | Radhika Rani Janga | Internal Medicine | 6970 W Patrick Ln Ste 140, Las Vegas, NV 89113-0270 | 2006-07-04 |
| 1962483073 | Gary L Kantor | Internal Medicine | 1750 E Desert Inn Rd, #200, Las Vegas, NV 89109-3202 | 2005-11-07 |
| 1801886825 | Neville Pokroy | Internal Medicine | 500 S Rancho Dr, Suite 12, Las Vegas, NV 89106-4844 | 2005-10-21 |
| 1023006384 | Harsha M Mulchandani | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2005-10-11 |
| 1659365286 | Gene Ong | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2005-09-09 |
| 1679567309 | Luana Pillon | Internal Medicine | 7908 W Sahara Ave, Las Vegas, NV 89117-1990 | 2005-09-08 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on SHAHROUZ SHADROU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.