Shah, Sanjay J

Shah, Sanjay J is an individual health care provider with primary practice located at 5131 E Southern Ave , Mesa AZ 85206-2799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Shah, Sanjay J can be contacted via phone (602) 933-0002.

Contact Information

Primary practice address
5131 E Southern Ave Mesa AZ 85206-2799
Phone: (602) 933-0002
Fax: (602) 933-6216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 34714 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 34186 Arizona

Profile Details

NPI number 1740263474
LBN Legal business name Shah, Sanjay J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Mar 27th, 2018 - about 8 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 1740263474 NPPES
Arizona MEDICAID 969537

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