NPI 1043030919

Shadow Emergency Physicians PLLC

Organisation Emergency Medicine Physician Las Vegas, NV

Practice location

Address: 10290 W Flamingo Rd, Las Vegas, NV 89135-2652
Phone: (954) 939-5000
Mailing address: PO Box 848252, Los Angeles, CA 90084-8252

Authorised official

Name: Edwin Homansky
Title: Authorized Official
Phone: (469) 401-2386

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Nevada →

Registry record

NPI: 1043030919
Entity type: Organization
NPI issued: 15 Oct 2024
Record last updated: 14 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.