Organization
CLINIC FOR CHEST DISEASES PLLC
Active
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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