Individual
DR. KUNAL K. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 546-1900
(602) 546-1918
Mailing address
1919 E THOMAS RD, BLDG 2108, STE 101, PHOENIX, AZ 85016-7710
(602) 512-8030
(602) 512-8161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44554
AZ
208000000X
Pediatrics Physician
44554
AZ
208000000X
Pediatrics Physician
R70954
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823982
—
AZ
Enumeration date
11/12/2009
Last updated
07/31/2023
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