Provider Demographics
NPI:1558973669
Name:SAMER SHUAIB MD INC
Entity type:Organization
Organization Name:SAMER SHUAIB MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUAIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-476-1516
Mailing Address - Street 1:8465 W SAHARA AVE # 111-606
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8960
Mailing Address - Country:US
Mailing Address - Phone:702-476-1516
Mailing Address - Fax:646-572-8760
Practice Address - Street 1:8465 W SAHARA AVE # 111-606
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8960
Practice Address - Country:US
Practice Address - Phone:702-476-1516
Practice Address - Fax:646-572-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty