Provider Demographics
NPI:1851156087
Name:DAR AND SHAH PLLC
Entity Type:Organization
Organization Name:DAR AND SHAH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:FAHAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:951-905-4264
Mailing Address - Street 1:221 WALKINSHAW AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5035
Mailing Address - Country:US
Mailing Address - Phone:951-905-4264
Mailing Address - Fax:
Practice Address - Street 1:10435 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-4007
Practice Address - Country:US
Practice Address - Phone:951-905-4264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty