Individual
DEEPA K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD STE 340, PEORIA, AZ 85381-4846
(623) 876-3840
(623) 876-6909
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 876-6965
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35214
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115189
—
AZ
Enumeration date
07/19/2006
Last updated
08/06/2010
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