Organization
KSSRGH SLEEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JATIN SHAH M.D. (PARTNER)
(623) 972-1800
Entity
Organization
Contact information
Practice address
10474 W THUNDERBIRD BLVD, SUITE 200, SUN CITY, AZ 85351-3023
(623) 972-1800
(623) 583-3506
Mailing address
10474 W THUNDERBIRD BLVD, SUITE 200, SUN CITY, AZ 85351-3023
(623) 972-1800
(623) 583-3506
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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