Clinical Infectious Diseases Specialist (Itani) PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

12305 Issued in NV

Legal business name

CLINICAL INFECTIOUS DISEASES SPECIALIST (ITANI) PC

Doing business as

Clinical Infectious Diseases Specialists

Practice address

2610 W Horizon Ridge Pkwy
Suite 103
Henderson, NV 89052-2869

Phone

(702) 586-0202

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Dhaval Jasvant Shah

Title

Owner

Phone

(702) 968-2437

Specialties & licenses 1

Addresses

Other names 1

• Clinical Infectious Diseases Specialists Doing business as

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1861860082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830",
            "telephone_number": "702-487-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522869",
            "telephone_number": "702-586-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL INFECTIOUS DISEASES SPECIALIST (ITANI) PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_middle_name": "JASVANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-968-2437"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "12305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Infectious Diseases Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infectious Disease Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Infectious Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.