KENNETH J. SHAH, MD
NPI 1508813338
Internal Medicine - Cardiovascular Disease in Henderson, NV

Active since May 27, 2006
2465 W HORIZON RIDGE PKWY, SUITE #100, HENDERSON, NV 89052(702) 616-0500(702) 616-0505 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 10, 2022, Jun 3, 2020 (2 updates tracked since 2020).

  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About KENNETH J. SHAH, MD

This page provides the complete NPI Profile along with additional information for Kenneth J. Shah, Md, an internist established in Henderson, Nevada operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1508813338 assigned on May 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 8591 (NV). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Kenneth J. Shah, Md. The authorized official of this NPI record is Dr. Kenneth J. Shah M.d. (President)

NPI
1508813338 Verify this NPI
Provider Legal Name
VASCULAR INSTITUTE OF SOUTHERN
Other Organization Name
KENNETH J. SHAH, MD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2465 W HORIZON RIDGE PKWY SUITE #100 HENDERSON, NV 89052
Location Phone
(702) 616-0500
Location Fax
(702) 616-0505
Mailing Address
2465 W HORIZON RIDGE PKWY SUITE #100 HENDERSON, NV 89052
Mailing Phone
(702) 616-0500
Mailing Fax
(702) 616-0505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2006
Last Update Date
05-10-2022
Code Navigator

An internist like Kenneth J. Shah, Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
8591
License State
NV
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENNETH J. SHAH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(702) 616-0500

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
2465 W HORIZON RIDGE PKWY, SUITE #140
HENDERSON, NV 89052
Internal Medicine (Cardiovascular Disease)
2465 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508813338, enumerated as an "organization" on May 27, 2006.

The provider is located at 2465 W HORIZON RIDGE PKWY SUITE #100 HENDERSON, NV 89052 and the phone number is (702) 616-0500.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.