Sanjay J. Shah M.d. P.c. | |
5523 W Lariat Ln Phoenix AZ 85083-1231 | |
(602) 842-7555 | |
(602) 753-0183 |
Full Name | Sanjay J. Shah M.d. P.c. |
---|---|
Speciality | General Practice |
Location | 5523 W Lariat Ln, Phoenix, Arizona |
Authorized Official Name and Position | Sanjay Shah (PRESIDENT) |
Authorized Official Contact | 6028427555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sanjay J. Shah M.d. P.c. 5523 W Lariat Ln Phoenix AZ 85083-1231 Ph: (602) 842-7555 | Sanjay J. Shah M.d. P.c. 5523 W Lariat Ln Phoenix AZ 85083-1231 Ph: (602) 842-7555 |
NPI Number | 1114105434 |
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Provider Enumeration Date | 02/08/2008 |
Last Update Date | 10/22/2019 |
Medicare PECOS PAC ID | 7810029295 |
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Medicare Enrollment ID | O20100721000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114105434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Sanjay J Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952315988 PECOS PAC ID: 9032166087 Enrollment ID: I20050401000731 |
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