Organization
SUNRISE PEDIATRICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY J SHAH M.D. (MANAGER)
(480) 892-3500
Entity
Organization
Contact information
Practice address
4100 S LINDSAY RD, STE # 126, GILBERT, AZ 85297-1506
(480) 892-3500
(480) 664-3632
Mailing address
4100 S LINDSAY RD, STE # 126, GILBERT, AZ 85297-1506
(480) 892-3500
(480) 664-3632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34629
AZ
Other
Enumeration date
08/11/2009
Last updated
10/08/2014
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