| NPI | 1740324409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMANSHU H SHUKLA Md Owner 480-816-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4278) |
| 207R00000X Internal Medicine (Licence: AZ 34435) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-07-14 |