Individual
DR. ANUP AJIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(602) 521-3292
Mailing address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(602) 521-3292
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M7614
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M7614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286733501
—
TX
05
—
286733503
—
TX
05
—
286733504
—
TX
Enumeration date
12/20/2007
Last updated
11/01/2021
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