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Organization

INFECTIOUS DISEASE CARE, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL M SHANAHAN (BILLING MANAGER)
(623) 974-6611
Entity
Organization

Contact information

Practice address
4410 W UNION HILLS DR, SUITE # 7-280, GLENDALE, AZ 85308-1660
(623) 974-6611
(623) 974-9434
Mailing address
4410 W UNION HILLS DR, SUITE # 7-280, GLENDALE, AZ 85308-1660
(623) 974-6611

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184706384
MEENAL PATEL, M.D. - NPI
AZ
05
906620
AZ
Enumeration date
01/30/2007
Last updated
11/21/2014
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