Shah, Nimisha Darshak

Shah, Nimisha Darshak is an individual health care provider with primary practice located at 21681 N 77Th Ave Ste. 1410, Peoria AZ 85382-2132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shah, Nimisha Darshak can be contacted via phone (623) 312-2265.

Contact Information

Primary practice address
21681 N 77Th Ave Ste. 1410 Peoria AZ 85382-2132
Fax: (623) 312-2266
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34447 Arizona

Profile Details

NPI number 1215928254
LBN Legal business name Shah, Nimisha Darshak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Sep 24th, 2013 - about 12 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 1215928254 NPPES
Arizona MEDICAID 969636

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