Provider Demographics
NPI:1376575845
Name:NAGY, SHAMIM N (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAMIM
Middle Name:N
Last Name:NAGY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1950 E DESERT INN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-3250
Mailing Address - Country:US
Mailing Address - Phone:702-735-6233
Mailing Address - Fax:702-735-5425
Practice Address - Street 1:1950 E DESERT INN RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-3250
Practice Address - Country:US
Practice Address - Phone:702-735-6233
Practice Address - Fax:702-735-5425
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV47592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV20-02886Medicaid
NVV0000BFBHFMedicare ID - Type Unspecified
NV20-02886Medicaid