Active NPI
Shaan Patel
- Dermatology Physician
- Las Vegas, NV
National Provider Identifier
1255868931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 21576
- Practice address
- 9801 Winter Palace Dr
Las Vegas, NV 89145-8639 - Phone
- (702) 505-1296
- NPI assigned
- May 12, 2017
- Last updated
- Jun 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 21576 | NV | Primary |
Addresses
Primary practice location
9801 Winter Palace Dr
Las Vegas, NV 89145-8639
Mailing address
9801 Winter Palace Dr
Las Vegas, NV 89145-8639
Phone (702) 505-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21576 | NV | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1255868931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 WINTER PALACE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891458639",
"telephone_number": "702-505-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 WINTER PALACE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891458639",
"telephone_number": "702-505-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHAAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NV",
"license": "21576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.