Individual
SANJAY VASUDEVAN SHANKAR
Active
Individual
SANJAY VASUDEVAN SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
54987
AZ
207RI0011X
Interventional Cardiology Physician
Primary
54987
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312717
—
AZ
01
—
Z208684
MEDICARE
AZ
Enumeration date
07/17/2007
Last updated
11/12/2021
Update your record
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