| Shadow Mountain Health Group | |
|
6525 N Decatur Blvd Ste 150b Las Vegas NV 89131-2993 | |
| (702) 979-5903 | |
| (702) 984-7315 |
| Full Name | Shadow Mountain Health Group |
|---|---|
| Speciality | Family Medicine |
| Location | 6525 N Decatur Blvd Ste 150b, Las Vegas, Nevada |
| Authorized Official Name and Position | Harris B Khakwani (OWNER) |
| Authorized Official Contact | 7028205713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Mountain Health Group 2460 Paseo Verde Pkwy Ste 145 Henderson NV 89074-7142 Ph: (702) 820-5713 | Shadow Mountain Health Group 6525 N Decatur Blvd Ste 150b Las Vegas NV 89131-2993 Ph: (702) 979-5903 |
| NPI Number | 1235851510 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235851510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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