Individual
MRS. MITAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.M.S,.P.A-C
Contact information
Practice address
755 E MCDOWELL RD FL 4, PHOENIX, AZ 85006-2506
(602) 521-3090
(602) 521-3661
Mailing address
755 E MCDOWELL RD FL 4, PHOENIX, AZ 85006-2506
(602) 521-3090
(602) 521-3661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2740
AZ
363A00000X
Physician Assistant
PA189433
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500756270
—
OR
01
—
PA 17915
PHYSICIAN ASSISTANT COMMI
CA
Enumeration date
11/07/2007
Last updated
11/19/2025
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