Individual
JATIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10474 W THUNDERBIRD BLVD, STE 200, SUN CITY, AZ 85351-3015
(855) 506-3876
(855) 523-0513
Mailing address
PO BOX 2099, SUN CITY, AZ 85372-2099
(855) 506-3876
(855) 523-0513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28642
AZ
2084N0400X
Neurology Physician
Primary
28642
AZ
2084P0800X
Psychiatry Physician
28642
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549818
—
AZ
Enumeration date
01/28/2006
Last updated
03/17/2016
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