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Contact Information

SHAMLOO BLUE SKY TREATMENT CENTER PLLC
3150 N TENAYA WAY
SUITE 510
LAS VEGAS, NV89128-0443
 Phone: 702-453-3799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHAMLOO BLUE SKY TREATMENT CENTER PLLC · (Female)

NPI # 1487081048
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2013
Last updated 10/29/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NV License # 13639
  • NV Other 13639 NV LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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