Individual
DR. NISH S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 W RAY RD, STE 1, CHANDLER, AZ 85224
(480) 814-9500
(480) 814-9501
Mailing address
2450 W RAY RD, STE 1, CHANDLER, AZ 85224
(480) 814-9500
(480) 814-9501
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
31035
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786600
—
AZ
Enumeration date
07/26/2006
Last updated
07/08/2007
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