Individual
DR. DEEPESH M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16390 N 59TH AVE STE 200, GLENDALE, AZ 85306
(623) 334-4000
(623) 334-4400
Mailing address
16390 N 59TH AVE STE 200, GLENDALE, AZ 85306-1711
(623) 334-4000
(623) 334-4400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
37959
—
207L00000X
Anesthesiology Physician
L-225536
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
37959
AZ
Other
Enumeration date
01/30/2008
Last updated
09/13/2024
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