Individual
SHEETAL DESAI GOSALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4131 N 24TH ST, ST. B102, PHOENIX, AZ 85016-6262
(602) 955-6632
(602) 381-1341
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005523
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1057
TRAINING PERMIT
AZ
Enumeration date
01/10/2008
Last updated
09/24/2013
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