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Organization

DESERT COMMUNITY MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HIMANSHU H SHUKLA MD (MD - OWNER)
(480) 816-3130
Entity
Organization

Contact information

Practice address
13215 N. VERDE RIVER DR, SUITE 6, FOUNTAIN HILLS, AZ 85268
(480) 816-3130
(480) 816-3134
Mailing address
PO BOX 41600, MESA, AZ 85274
(480) 816-3130
(480) 816-3134

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4278
AZ
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
34435
AZ

Other

Enumeration date
02/16/2007
Last updated
07/14/2008
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