Organization
DR MANISH SHAH INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH M SHAH MD (MD/OWNER)
(734) 707-3960
Entity
Organization
Contact information
Practice address
4630 N HACIENDA DEL SOL RD, TUCSON, AZ 85718-6017
(734) 707-3960
Mailing address
PO BOX 43160, TUCSON, AZ 85733-3160
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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