# PARADISE VALLEY PAIN AND WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336664127
- **Authorized official:** DR. BILAL F. SHANTI MD (SOLE MEMBER)
- **Authorized official phone:** (480) 473-7246

## Contact information

- **Practice address:** 5051 E THOMAS RD, PHOENIX, AZ 85018-7912
- **Practice address phone:** (480) 473-7246
- **Practice address fax:** (480) 473-4942
- **Mailing address:** 4400 N SCOTTSDALE RD \# 9717, SCOTTSDALE, AZ 85251-3331
- **Mailing address phone:** (480) 473-7246
- **Mailing address fax:** (480) 473-4942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 06/16/2018