Shah, Nish S

Shah, Nish S is an individual health care provider with primary practice located at 2450 W Ray Rd Ste 1, Chandler AZ 85224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Shah, Nish S can be contacted via phone (480) 814-9500.

Contact Information

Primary practice address
2450 W Ray Rd Ste 1 Chandler AZ 85224
Fax: (480) 814-9501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 31035 Arizona

Profile Details

NPI number 1114940335
LBN Legal business name Shah, Nish S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114940335 NPPES
Arizona MEDICAID 786600

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