Individual
MANISH MANSUKHLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 N CAMPBELL AVE, DIVISION OF INPATIENT MEDICINE, TUCSON, AZ 85724-5212
(520) 626-5721
Mailing address
4630 N HACIENDA DEL SOL RD, TUCSON, AZ 85718-6017
(734) 707-3960
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
48617
AZ
207R00000X
Internal Medicine Physician
Primary
48617
AZ
207R00000X
Internal Medicine Physician
E-11982
AR
390200000X
Student in an Organized Health Care Education/Training Program
4301098795
MI
Other
Enumeration date
07/01/2011
Last updated
12/15/2022
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