Individual
DR. MAULIK GAUTAM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16427 N SCOTTSDALE RD, SUITE 100, SCOTTSDALE, AZ 85254-8197
(480) 718-5072
(480) 718-5074
Mailing address
PO BOX 13507, SCOTTSDALE, AZ 85267-3507
(480) 718-5072
(480) 718-5074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41574
AZ
207RC0000X
Cardiovascular Disease Physician
A80105
CA
207RI0011X
Interventional Cardiology Physician
41574
AZ
207UN0901X
Nuclear Cardiology Physician
41754
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447809
—
AZ
Enumeration date
03/19/2008
Last updated
10/09/2020
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