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Individual

SHIVA BIRDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2940 E BANNER GATEWAY DR, SUITE 400, GILBERT, AZ 85234-2168
(480) 256-3353
(480) 256-3682
Mailing address
2940 E BANNER GATEWAY DR, SUITE 400, GILBERT, AZ 85234-2168
(480) 256-3353
(480) 256-3682

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
45094
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
642344
AZ
Enumeration date
02/15/2008
Last updated
12/31/2014
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