Provider Demographics
NPI:1235768904
Name:KASAN, SHALEMAR ANN ABRAHAM (MD)
Entity Type:Individual
Prefix:
First Name:SHALEMAR ANN
Middle Name:ABRAHAM
Last Name:KASAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2381 E WINDMILL LN STE 14
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2069
Mailing Address - Country:US
Mailing Address - Phone:702-602-8232
Mailing Address - Fax:877-707-4582
Practice Address - Street 1:2381 E WINDMILL LN STE 14
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2069
Practice Address - Country:US
Practice Address - Phone:702-766-5474
Practice Address - Fax:877-707-4582
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV24381207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine