| NPI | 1235851510 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | HARRIS B KHAKWANI Owner 702-820-5713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-08-14 |