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Organization

SUN WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NINA M SHAH D.O. (OWNER/MEMBER MANAGER)
(480) 812-5828
Entity
Organization

Contact information

Practice address
10192 W COGGINS DR, SUN CITY, AZ 85351-3405
(480) 812-5828
(602) 840-1290
Mailing address
6449 E GAINSBOROUGH RD, SCOTTSDALE, AZ 85251-1950
(480) 812-5828
(602) 840-1290

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
6226
AZ
207RP1001X
Pulmonary Disease Physician
6226
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P21587848
PLLC REGISTRATION
AZ
Enumeration date
02/14/2017
Last updated
03/16/2017
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