Individual
DR. AKSHAY VIJAY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14155 N 83RD AVE, SUITE 122, PEORIA, AZ 85381-5639
(623) 773-1161
(623) 773-1181
Mailing address
14155 N 83RD AVE, SUITE 122, PEORIA, AZ 85381-5639
(623) 773-1161
(623) 773-1181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251288
NY
207RG0100X
Gastroenterology Physician
Primary
42590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509244
—
AZ
Enumeration date
05/07/2009
Last updated
09/28/2011
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