Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melanie Helen De Shadarevian, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336728096

Melanie Helen De Shadarevian, DO is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

620 Shadow Ln
Las Vegas, NV 89106-4194
Phone: (702) 388-8437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336728096
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

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