BHAVESH SHUKLA


Address: 2601 E Roosevelt St, Phoenix, AZ 85008-4973
Phone: 6023445011

BHAVESH SHUKLA (NPI# 1053932277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053932277
Entity Type Individual
Full Name BHAVESH SHUKLA
Credential MD
Practice Address 2601 E Roosevelt St
Phoenix
AZ 85008-4973
Mailing Address 4001 N 3rd St Ste 290
Phoenix
AZ 85012-2071
Practice Telephone 6023445011
Enumeration Date 2020-04-28
Last Update Date 2020-04-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2601 E ROOSEVELT ST
City PHOENIX
State AZ
Zip Code 85008-4973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538166152 Paul Zidel I Orthopaedic Surgery 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 2005-06-29
1881293165 Christina Wellman Registered Nurse 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-10-19
1639786544 Lindsey Tow Nurse Anesthetist, Certified Registered 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-09-24
1003424102 Susannamma Lijan Nurse Practitioner 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-07-15
1184241705 Katharine Witham Anesthesiology 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-06-30
1417574435 Vishal Ravella Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 2020-06-26
1841814894 Anthony Howard Arnett Nurse Anesthetist, Certified Registered 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-06-05
1659991016 Luis Francisco Meza Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-25
1396365839 Nicholas Donahue Winter Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-24
1821618430 Daniel Glade Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2020-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607060 Am Apnea and Tmj LLC Durable Medical Equipment & Medical Supplies 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 2020-07-23
1194341131 Abdulbaril Olandapo Olagunju Student in an Organized Health Care Education/Training Program 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 2020-06-24
1376164632 Abdul Rahman Raed Mustafa Halawa Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 2020-04-28
1245869460 Zachary Masuda Student in an Organized Health Care Education/Training Program Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 2020-04-08
1942840145 Cana Behavior LLC Physical Therapist 2412 N 36 Pl, Phoenix, AZ 85008 2020-01-15
1871158188 Fred Gardezy Student in an Organized Health Care Education/Training Program Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 2019-05-02
1225692346 Navkaran Singh Girgla Student in an Organized Health Care Education/Training Program 2601 East Roosevelt St., Phoenix, AZ 85008 2019-04-24
1316412323 Southwest Human Developement Early Intervention Provider Agency 2850 N 24h Street, Phoenix, AZ 85008 2018-10-05
1558885970 Mona Ridhwan Ziems Midwife 1919 N 31st St, Phoenix, AZ 85008 2017-07-27
1093244451 Shana Cynamon Audiologist 1801 N 37th Pl, Phoenix, AZ 85008 2017-06-08
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922615814 Ethan Robert Curtis Student in an Organized Health Care Education/Training Program 9467 Dinglehole Rd, Phoenix, NY 13135-9504 2020-09-25
1508470642 Aisha J Ramirez-maya Student in an Organized Health Care Education/Training Program 5230 S 40th Pl, Phoenix, AZ 85040-3909 2020-09-05
1003429846 Krista Lyn Beerling Student in an Organized Health Care Education/Training Program 5827 E Indian School Rd, Phoenix, AZ 85018-6104 2020-08-30
1568075877 Melissa Coronado Student in an Organized Health Care Education/Training Program 1906 W Latona Ln, Phoenix, AZ 85041-7703 2020-08-26
1801409248 Javier Bruno Limon Student in an Organized Health Care Education/Training Program 4233 N 77th Dr, Phoenix, AZ 85033-2401 2020-08-25
1841803277 Tiffany Figueroa Student in an Organized Health Care Education/Training Program 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 2020-08-25
1669085353 Lea Yusupov Student in an Organized Health Care Education/Training Program 325 W Anderson Ave, Phoenix, AZ 85023-6545 2020-08-24
1528671179 Olivia Rose Warner Student in an Organized Health Care Education/Training Program 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 2020-08-24
1689285470 Mati Aamed Student in an Organized Health Care Education/Training Program 5350 N 20th St, Phoenix, AZ 85016-3321 2020-08-13
1124638689 Emily Anne Nelson Student in an Organized Health Care Education/Training Program 22829 N 39th Run, Phoenix, AZ 85050-5417 2020-08-08
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Competitor

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City PHOENIX
Zip Code 85008

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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