Shah, Hetal C

Shah, Hetal C is an individual health care provider with primary practice located at 4700 N 51St Ave Ste 5 , Phoenix AZ 85031-1237. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Shah, Hetal C can be contacted via phone (623) 846-7597.

Contact Information

Primary practice address
4700 N 51St Ave Ste 5 Phoenix AZ 85031-1237
Phone: (623) 846-7597
Fax: (623) 846-1826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 25006 Arizona
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 25006 Arizona

Profile Details

NPI number 1750363255
LBN Legal business name Shah, Hetal C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750363255 NPPES
Arizona MEDICAID 382523
Arizona MEDICAID 860883549

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