Individual
SHEELAH C CHANGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1962
(520) 247-5841
Mailing address
2873 E INDIAN WELLS PL, CHANDLER, AZ 85249-4917
(913) 219-3324
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
2008015503
MO
207ZP0101X
Anatomic Pathology Physician
54951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200679940A
—
KS
01
—
44273019
BCBS-KC
—
Enumeration date
03/25/2010
Last updated
03/05/2021
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