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Individual

DR. SUNDEEP SHASHI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18301 N 79TH AVE, SUITE C135, GLENDALE, AZ 85308-8463
(602) 633-2247
(602) 633-2347
Mailing address
18301 N 79TH AVE, SUITE C135, GLENDALE, AZ 85308-8463
(602) 633-2247
(602) 633-2347

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
31155
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
777162005
AZ
Enumeration date
07/10/2006
Last updated
10/17/2016
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