Shabnam Gupta, MD | |
702 E Bell Rd Ste 119, Phoenix, AZ 85022-6639 | |
(602) 358-8588 | |
(602) 688-6991 |
Full Name | Shabnam Gupta |
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Gender | Female |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 702 E Bell Rd Ste 119, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326401696 | NPI | - | NPPES |
155745 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 67138 (Arizona) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 67138 (Arizona) | Primary |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
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Shabnam Gupta, MD 7330 N 16th St Ste B101, Phoenix, AZ 85020-5274 Ph: (678) 431-3434 | Shabnam Gupta, MD 702 E Bell Rd Ste 119, Phoenix, AZ 85022-6639 Ph: (602) 358-8588 |
Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619 | |
Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065 | |
Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766 | |
Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823 |