Individual
SHOBHANA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8826 N 23RD AVE, PHOENIX, AZ 85021-4154
(602) 861-7370
Mailing address
8826 N 23RD AVE, PHOENIX, AZ 85021-4154
(602) 861-7370
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
8077
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170952
—
AZ
Enumeration date
01/20/2006
Last updated
07/08/2007
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