Provider Demographics
NPI:1861783961
Name:SHELIN AGRAWAL AND HYER PLLC
Entity type:Organization
Organization Name:SHELIN AGRAWAL AND HYER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-321-7026
Mailing Address - Street 1:PO BOX 1465
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1465
Mailing Address - Country:US
Mailing Address - Phone:702-759-8600
Mailing Address - Fax:702-384-1815
Practice Address - Street 1:2020 PALOMINO LN
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4894
Practice Address - Country:US
Practice Address - Phone:702-759-8600
Practice Address - Fax:702-384-1815
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELLIS BANDT BIRKIN KOLLINS & WONG, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-22
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV201112119142085N0700X, 2085N0904X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Multi-Specialty
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1861783961Medicaid
OK200466110AMedicaid
TX1861783961Medicaid
TX3366122Medicaid
CADU4981OtherRR CA DRS NORTHERN
KSDU8965OtherRR MEDICARE DRS KANSAS
CA1861783961Medicaid
CADU4980OtherRR DRS CA SOUTHERN
MIDU7190OtherRR DRS MI
NVDT6182OtherRR MEDICARE
KSKA3112Medicare PIN
KSDU8965OtherRR MEDICARE DRS KANSAS
CA1861783961Medicaid
TX1861783961Medicaid
NCE798Medicare PIN
CAGX248AMedicare PIN
TX403581Medicare PIN
MIDU7190OtherRR DRS MI
NV1861783961Medicaid
AZZ174678Medicare PIN
NM332641Medicare PIN
GA202G701649Medicare PIN
CACB219978Medicare PIN
FLID755AMedicare PIN
ORR168785Medicare PIN
CADU4980OtherRR DRS CA SOUTHERN
OK200466110AMedicaid
ORR179137Medicare PIN