Individual
DR. HETAL C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 N 51ST AVE STE 5, PHOENIX, AZ 85031-1237
(623) 846-7597
(623) 846-1826
Mailing address
4700 N 51ST AVE STE 5, PHOENIX, AZ 85031-1237
(623) 846-7597
(623) 846-1826
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
25006
AZ
207VX0000X
Obstetrics Physician
Primary
25006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382523
—
AZ
05
—
860883549
—
AZ
Enumeration date
11/18/2005
Last updated
03/07/2023
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