PRAKASH SHANTILAL SHAH

MESA, AZ
NPI1104043801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  36825)
Enumeration Date2007-04-20
Last Update Date2008-04-29
Business Address
-- PRAKASH SHANTILAL SHAH MD
6644 E BAYWOOD AVE
MESA, AZ 85206-1747
Phone number: 408-981-4391
Mailing Address
-- PRAKASH SHANTILAL SHAH MD
PO BOX 708850
SANDY, UT 84070-8850
Phone number: 866-869-2395