DR. SHAMAIL BUTT (NPI# 1043531981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043531981 |
| Entity Type | Individual |
| Full Name | DR. SHAMAIL BUTT |
| Credential | M.D. |
| Practice Address |
3006 S Maryland Pkwy Ste 205 Las Vegas NV 89109-2229 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7027357154 |
| Practice Fax Number | 7027357153 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P8225 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
18027 | NV | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
P8225 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | CIGNA | 0321579 | 01 |
| MS | AETNA | 9228588 | 01 |
| TX | 349273804 | 05 | |
| MS | 01879212 | 05 | |
| TX | 349273803 | 05 | |
| NV | 10343531981 | 05 | |
| NV | STATE LICENSE | 18027 | 01 |
| MS | UNITED HEALTHCARE | 3193817 | 01 |
| Street Address |
3006 S MARYLAND PKWY STE 205 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497706162 | Stephen J Iacoboni | Internal Medicine | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109 | 2006-05-15 |
| 1942501580 | Kira M Campos | Nurse Practitioner | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109-2229 | 2010-11-13 |
| 1609814417 | Steven W Yates | Internal Medicine | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679785141 | John A Ellerton Md.ltd Dba Cancer Consultants | Internal Medicine | 2020 W. Palomino Ln, Suite #110, Las Vegas, NV 89106-4812 | 2007-05-04 |
| 1568513059 | Gary Allen Palmer | Internal Medicine | 6827 W Tropicana Ave Ste 110, Las Vegas, NV 89103-4920 | 2007-01-13 |
| 1063587459 | Shamoon Ahmad | Internal Medicine | 3340 Topaz St, Suite 100, Las Vegas, NV 89121-3903 | 2006-11-21 |
| 1952414948 | Delva P. Deauna-limayo | Internal Medicine | 3150 N Tenaya Way Ste 530, Las Vegas, NV 89128-0465 | 2006-08-16 |
| 1659389062 | Arlene Bayreder | Internal Medicine | 3121 S. Maryland Pkwy Suite 300, Las Vegas, NV 29109 | 2006-08-03 |
| 1770526964 | Vikas Gupta | Internal Medicine | 9280 W Sunset Rd Ste 100, Las Vegas, NV 89148 | 2006-06-14 |
| 1588635312 | Shahid Pervez Malik | Internal Medicine | 2911 N Tenaya Way Ste 210, Las Vegas, NV 89128 | 2006-01-30 |
| 1730186354 | Dhan Dev Kaushal | Internal Medicine | 3730 S Eastern Ave, Las Vegas, NV 89169 | 2005-06-29 |
| 1225514508 | Richy Agajanian Md A Professional Corporation | Internal Medicine | 2911 N Tenaya Way Ste 210, Las Vegas, NV 89128-0464 | 2018-07-19 |
| 1831557354 | Ann M Wierman Md Ltd | Internal Medicine | 3150 N Tenaya Way, Suite 200, Las Vegas, NV 89128 | 2016-01-29 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.