Organization
ATRIA HEART PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAULIK G SHAH M.D. (MEMBER/MANAGER)
(415) 235-9003
Entity
Organization
Contact information
Practice address
16427 N SCOTTSDALE RD, STE. 100, SCOTTSDALE, AZ 85254-8197
(480) 718-5072
(480) 718-5074
Mailing address
PO BOX 13507, SCOTTSDALE, AZ 85267-3507
(480) 718-5072
(480) 718-5074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41574
AZ
207RI0011X
Interventional Cardiology Physician
41574
AZ
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
978845
—
AZ
01
—
P19566801
PLLC REGISTRATION NUMBER
AZ
Enumeration date
10/10/2014
Last updated
10/09/2020
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