Individual
GAJANTH SHANMUGANATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
1701 ENNIS JOSLIN RD APT 934, CORPUS CHRISTI, TX 78412-4381
(661) 992-1955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006923
AZ
207R00000X
Internal Medicine Physician
BP10046977
TX
208M00000X
Hospitalist Physician
Primary
006923
AZ
Other
Enumeration date
11/11/2015
Last updated
08/05/2025
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