Sanjay J. Shah M.D. P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SANJAY J. SHAH M.D. P.C.

Practice address

5523 W Lariat LN
Phoenix, AZ 85083-1231

Phone

(602) 842-7555

Fax

(602) 753-0183

NPI assigned

Feb 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sanjay ShahNPI 1952315988

Title

President

Phone

(602) 842-7555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjay Jayantilal Shah, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1952315988
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1114105434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 W LARIAT LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831231",
            "telephone_number": "602-842-7555",
            "fax_number": "602-753-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 W LARIAT LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831231",
            "telephone_number": "602-842-7555",
            "fax_number": "602-753-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17100 N 67th Ave",
            "address_2": "Suite 602",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853083605",
            "country_code": "US",
            "telephone_number": "602-978-5005",
            "fax_number": "602-978-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANJAY J. SHAH M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-842-7555"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sanjay B Patel, DO, PC
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• Kyle Sanniec, MD
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• General Practice Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.