Shah, Deepa K

Shah, Deepa K is an individual health care provider with primary practice located at 13640 N Plaza Del Rio Blvd Ste 340 , Peoria AZ 85381-4846. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Shah, Deepa K can be contacted via phone (623) 876-3840.

Contact Information

Primary practice address
13640 N Plaza Del Rio Blvd Ste 340 Peoria AZ 85381-4846
Fax: (623) 876-6909
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35214 Arizona

Profile Details

NPI number 1659390342
LBN Legal business name Shah, Deepa K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 6th, 2010 - about 14 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 1659390342 NPPES
Arizona MEDICAID 115189

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