Organization
PIONEER CARDIOVASCULAR CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHUL P SHAH M.D. (PRESIDENT)
(480) 345-0034
Entity
Organization
Contact information
Practice address
2149 E BASELINE RD, SUITE #103, TEMPE, AZ 85283-1539
(480) 345-0034
(480) 345-4033
Mailing address
2149 E BASELINE RD, SUITE #103, TEMPE, AZ 85283-1539
(480) 345-0034
(480) 345-4033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26872
AZ
174400000X
Specialist
Primary
27343
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255389953
NPI
AZ
01
—
1669421921
NPI
AZ
05
—
447484
—
AZ
05
—
462490
—
AZ
Enumeration date
09/09/2005
Last updated
03/11/2020
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