Individual
NIMISHA DARSHAK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21681 N 77TH AVE, STE. 1410, PEORIA, AZ 85382-2132
(623) 312-2265
(623) 312-2266
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34447
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969636
—
AZ
Enumeration date
10/31/2005
Last updated
09/24/2013
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