Himansu Shah, MD, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

HIMANSU SHAH, MD, PLLC

Practice address

6930 S Cimarron Rd
Las Vegas, NV 89113-2135

Phone

(702) 684-5502

Fax

(702) 984-5503

NPI assigned

Jun 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Himansu R Shah, MDNPI 1417935065

Title

Owner

Phone

(702) 684-5502

Specialties & licenses 3

Addresses

Other names 1

• Signature Plastic Surgery & Dermatology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Himansu R Shah, M.D.

  • Plastic Surgery Physician
  • Henderson, NV
  • NPI 1417935065
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1841867413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524189",
            "telephone_number": "702-684-5502",
            "fax_number": "702-684-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-684-5502",
            "fax_number": "702-984-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIMANSU SHAH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HIMANSU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-684-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Plastic Surgery & Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Hilton
• Madison Kathryne Hilty, BA
• Samantha Hiltz
• Malay Him, FNP
• Sothy Him, PHARMACIST
• Glenn J Hime, M.D.
• Ashley R Himes
• Terry Mark Himes, D.O.
• Justin Troy Himori, DPT
• Kim Himphayvanh

• Plastic Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Plastic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.