Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 14383 | AZ |
N | 207RP1001X | Pulmonary Disease | 14383 | AZ |
Y | 207RS0012X | Sleep Medicine | 14383 | AZ |
NPI | 1013015270 |
---|---|
Provider Name | Ashvin K Shah |
First Address | Yuma, AZ 85364-8878 |
Second Address | Yuma, AZ 85364-8878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 30/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
232421 | (05) | AZ |
D37626 | (02) | AZ |