Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vascular Institute of Southern

Organization Cardiovascular Disease Physician · NPI 1508813338

Vascular Institute of Southern provides Cardiovascular Disease Physician services in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2006.

Licensed in
NV
In the registry since
2006

Practice location Address checks out

2465 W Horizon Ridge Pkwy Ste #100
Henderson, NV 89052-2649
Phone: (702) 616-0500
Fax: (702) 616-0505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 8591 (NV)

Record details

NPI number1508813338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Shah — President · (702) 616-0500
Other names Kenneth J. Shah, Md
NPI enumeratedMay 27, 2006
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022
Mailing address2465 W Horizon Ridge Pkwy, Suite #100, Henderson, NV 89052-2649

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