| NPI | 1972587863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA VIKRAM SHAH President 480-899-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 13939) |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2011-03-07 |