Individual
DHAVAL MAHESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2149 E BASELINE RD STE 103, TEMPE, AZ 85283-1539
(480) 345-0034
(480) 345-4033
Mailing address
2149 E BASELINE RD STE 103, TEMPE, AZ 85283-1539
(480) 345-0034
(480) 345-4033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258477
MA
207RC0000X
Cardiovascular Disease Physician
54078
AZ
207RI0011X
Interventional Cardiology Physician
Primary
54078
AZ
Other
Enumeration date
06/23/2010
Last updated
07/17/2020
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