Shilpa B Thaker MD LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13297 Issued in NV

Legal business name

SHILPA B THAKER MD LTD

Practice address

3150 N Tenaya Way
Suite 225
Las Vegas, NV 89128-0443

Phone

(702) 558-2111

Fax

(702) 558-8333

NPI assigned

Apr 2, 2010

Organization subpart

No

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

Authorized official

Name

Lori Ann Labrecque

Title

Accounts MGR

Phone

(702) 453-3799

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Shilpa Bharat Thaker, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1609991959
  Medicare reassignment NPD
• Milan Patel, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1265532287
  NPD (past)

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1891010799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 CANOE COVE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176713",
            "telephone_number": "702-303-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-558-2111",
            "fax_number": "702-558-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILPA B THAKER MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ACCOUNTS MGR",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA LIC",
            "identifier": "13297",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shijuana Obi, LLC
• Demani Shikomba
• Oganes Hovik Shilgevorkyan, M.D.
• Inna Shilina
• Martin Shill, MD
• Bryant Shim, MD
• Haeok Shim
• Jee Shim, M.D.
• Carissa A Shima
• Mark Y Shimada, PEER RECOVER SPECIAL

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.