Individual
SANJAY JAYANTILAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5523 W LARIAT LN, PHOENIX, AZ 85083-1231
(602) 842-7555
(602) 743-0183
Mailing address
5523 W LARIAT LN, PHOENIX, AZ 85083-1231
(602) 842-7555
(602) 743-0183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23307
AZ
208M00000X
Hospitalist Physician
MD23307
AZ
Other
Enumeration date
07/27/2006
Last updated
10/22/2019
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