Individual
SHAYNA CAROLINE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 832-4000
Mailing address
2323 W ROSE GARDEN LN, PHOENIX, AZ 85027-2530
(602) 521-6252
(623) 842-5640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45044
AZ
2085U0001X
Diagnostic Ultrasound Physician
45044
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005472
GROUP MEDICAID ID
AZ
01
—
1295976538
PHYSICIAN INDIVIDUAL NPI
AZ
01
—
1841261989
GROUP NPI
AZ
05
—
628578
—
AZ
01
—
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
—
P01038305
PHYSICIAN MEDICARE RAILROAD ID
AZ
01
—
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
03/17/2009
Last updated
01/22/2019
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