Organization
OMNIA PAIN CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL F. SHANTI MD (OWNER)
(480) 473-7246
Entity
Organization
Contact information
Practice address
5051 E THOMAS RD, PHOENIX, AZ 85018-5408
(480) 473-7246
(480) 473-4942
Mailing address
4400 N SCOTTSDALE RD, SUITE 9717, SCOTTSDALE, AZ 85251-3331
(480) 473-7246
(480) 473-4942
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
28663
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
792863
—
AZ
Enumeration date
07/25/2007
Last updated
12/14/2015
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