SHANTI AUTO INJURY AND ACCIDENT, PLLC


Address: 1695 W 24h St, Suite C, Yuma, AZ 85364
Phone: 4804737246

SHANTI AUTO INJURY AND ACCIDENT, PLLC (NPI# 1417573742) 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) 1417573742
Entity Type Organization
Organization Name SHANTI AUTO INJURY AND ACCIDENT, PLLC
Practice Address 1695 W 24h St
Suite C
Yuma
AZ 85364
Mailing Address 4400 N Scottsdale Rd # 9717
Scottsdale
AZ 85251-3331
Practice Telephone 4804737246
Practice Fax Number 4804734942
Mailing Telephone 4804737246
Mailing Fax Number 4804734942
Enumeration Date 2020-06-23
Last Update Date 2020-06-23
Authorized Official Name DR. BILAL F. SHANTI (MEDICAL DIRECTOR/OWNER)
Authorized Official Telephone 4804737246
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
NA Former Legal Business Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
5051 E Thomas Rd, Phoenix, AZ 850187912 4804737246 4804734942

Office Location

Street Address 1695 W 24H ST
SUITE C
City YUMA
State AZ
Zip Code 85364

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1396978268 Young Hearts of Yuma, Inc Clinic/Center 2051 W 25th St, Yuma, AZ 85364-6912 2009-08-26
1841482577 Yuma Urology Center Pllc Clinic/Center 2275 S Elks Ln, Yuma, AZ 85364-6258 2007-08-16

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1629546130 Josh Vella, M.d., Pllc Clinic/Center 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 2018-11-02
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Competitor

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City YUMA
Zip Code 85364

Improve Information

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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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