Individual
DR. SANDEEP K SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 935-0108
(480) 939-4879
Mailing address
PO BOX 8022, CHANDLER, AZ 85246-8022
(480) 636-1149
(480) 452-0998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32778
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
878051-01
—
AZ
Enumeration date
04/28/2006
Last updated
07/31/2019
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