Individual
GALAXY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
(602) 344-5149
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
4301099607
MI
208800000X
Urology Physician
Primary
52763
AZ
390200000X
Student in an Organized Health Care Education/Training Program
TRN15483
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/15/2009
Last updated
07/22/2016
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