Individual
KUNJAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 W BROWN RD, MESA, AZ 85201-3404
(480) 985-1093
(480) 296-7665
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
55745
AZ
207QA0505X
Adult Medicine Physician
Primary
55745
AZ
Other
Enumeration date
03/30/2015
Last updated
09/28/2023
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