Individual
SHISHIR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 789-8389
Mailing address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2759
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3663
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619348
—
AZ
Enumeration date
05/06/2006
Last updated
05/11/2017
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