Organization
CLINIC FOR CHEST DISEASES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAUTAM MOTILAL SHAH M.D. (MANAGING PARTNER)
(623) 974-2434
Entity
Organization
Contact information
Practice address
10192 W COGGINS DR, SUN CITY, AZ 85351-3405
(623) 974-2434
(623) 974-4925
Mailing address
10192 W COGGINS DR, SUN CITY, AZ 85351-3405
(623) 974-2434
(623) 974-4925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
05/16/2006
Last updated
11/07/2007
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