| Bobby Shaw Md Llc | |
|
2930 Siena Heights Dr Henderson NV 89052-3871 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Bobby Shaw Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2930 Siena Heights Dr, Henderson, Nevada |
| Authorized Official Name and Position | Priya Shaw (SOLE OWNER) |
| Authorized Official Contact | 7028408674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby Shaw Md Llc 3055 Saint Rose Pkwy # 777905 Henderson NV 89052-3889 Ph: (702) 453-3799 | Bobby Shaw Md Llc 2930 Siena Heights Dr Henderson NV 89052-3871 Ph: (702) 453-3799 |
| NPI Number | 1992349369 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 2264867332 |
|---|---|
| Medicare Enrollment ID | O20200117001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992349369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Priya Brata Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902190929 PECOS PAC ID: 1951524164 Enrollment ID: I20141113000021 |
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