Individual
SANJAY J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5131 E SOUTHERN AVE, MESA, AZ 85206-2799
(602) 933-0002
(602) 933-6216
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
34186
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
34714
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969537
—
AZ
Enumeration date
11/28/2005
Last updated
03/27/2018
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