Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 36671 | AZ |
NPI | 1376761577 |
---|---|
Provider Name | Dr. Shimul Bansal Sahai |
First Address | Chandler, AZ 85225-8149 |
Second Address | Chandler, AZ 85225-8149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 17/12/2014 |