# ASHVIN K. SHAH, M.D., PC

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

## Provider details

- **NPI number:** 1992915284
- **Authorized official:** ASHVIN K SHAH M.D. (PRESIDENT)
- **Authorized official phone:** (928) 344-1891

## Contact information

- **Practice address:** 2110 W 24TH ST, YUMA, AZ 85364-8878
- **Practice address phone:** (928) 344-1891
- **Practice address fax:** (928) 726-6306
- **Mailing address:** 2110 W 24TH ST, YUMA, AZ 85364-8878
- **Mailing address phone:** (928) 344-1891
- **Mailing address fax:** (928) 726-6306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 14383 | AZ | — |
| 207RP1001X | Pulmonary Disease Physician | 36398 | AZ | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1013015270 | DR SHAH PERSONAL NPI | AZ |
| 01 | — | 1518016096 | DR LESSER NPI | AZ |
| 01 | — | 1790976108 | BLANCA E HUERTA, PA PERSONAL NPI | AZ |
| 05 | — | 637009 | — | AZ |