Individual
SAPAN MARKAND SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850N CENTRAL AVE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
(602) 262-8890
Mailing address
1850N CENTRAL AVE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
50911
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2011
Last updated
10/23/2015
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