DR. HETAL C SHAH (NPI# 1750363255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750363255 |
| Entity Type | Individual |
| Full Name | DR. HETAL C SHAH |
| Other Name | DR. HETALKUMAR CHANDRAVADAN SHAH |
| Credential | M.D. |
| Practice Address |
4700 N 51st Ave Ste 5 Phoenix AZ 85031-1237 |
| Practice Telephone | 6238467597 |
| Practice Fax Number | 6238461826 |
| Mailing Telephone | 6238467597 |
| Mailing Fax Number | 6238461826 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
25006 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
25006 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA | BH5331755 | 01 |
| AZ | 382523 | 05 | |
| AZ | 860883549 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18699 N 67th Ave Ste 210, Glendale, AZ 853087142 | 6238751448 | 6238751826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559182 | Hetal Shah | Pharmacist | 985 Pennsylvania Ave, Kansas City, MO 64105-1315 | 2020-05-13 |
| 1568788412 | Hetal N Shah | Pharmacist | 657 Heacock Rd, Yardley, PA 19067-6338 | 2010-04-18 |
| 1831378728 | Hetal Shah | Pharmacist | 37 Grand View Ter, Chester, NY 10918-8201 | 2007-10-29 |
| 1336168269 | Hetal A Shah | Physical Therapist | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2006-07-19 |
| 1497784094 | Hetal S Shah | Family Medicine | 777 Route 70 East, Sutie G-101, Marlton, NJ 08053-2345 | 2006-07-03 |
| 1043811300 | Hetal Shah | Pharmacist | 299 Valley Gate Dr, Warrington, PA 18976-2745 | 2020-11-03 |
| 1912453051 | Hetal Shah | Pharmacist | 21398 Price Cascades Plz, Sterling, VA 20164-6606 | 2016-08-29 |
| 1376954834 | Hetal Shah | Pharmacist | 715 E Bidwell St, Folsom, CA 95630-3341 | 2014-05-17 |
| 1497040398 | Hetal Shah | Internal Medicine | 2655 Crescent Dr, Suite D, Lafayette, CO 80026-3372 | 2011-06-20 |
| 1417187584 | Hetal Shah | Optometrist | 2189 75th St, Darien, IL 60561-4383 | 2009-07-22 |
| Street Address |
4700 N 51ST AVE STE 5 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144498692 | Chloe Obstetrics & Gynecology, P.l.l.c. | Obstetrics & Gynecology | 500 W. Thomas Rd, Suite 670, Phoenix, AZ 85013-4224 | 2008-02-19 |
| 1932325073 | Sylvia C Castro | Obstetrics & Gynecology | 15255 N 40th St Suite 105, Phoenix, AZ 85032-4636 | 2007-04-17 |
| 1336104108 | Jan D Watson | Obstetrics & Gynecology | 2030 W Baseline Rd, Suite 182-235, Phoenix, AZ 85041-6574 | 2006-04-17 |
| 1477915213 | Kaitlin Nelson Elsenheimer | Obstetrics & Gynecology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2016-03-22 |
| 1407262777 | Westridge, Ob/gyn | Obstetrics & Gynecology | 8410 W Thomas Rd Ste 134, Phoenix, AZ 85037-3374 | 2014-07-08 |
| 1801135108 | Teresa June Patin | Obstetrics & Gynecology | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2013-02-06 |
| 1992065601 | Kristina Suntay | Obstetrics & Gynecology | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2012-05-29 |
| 1891960738 | Maria Dolores Hernandez | Obstetrics & Gynecology | 2601 E Roosevelt St, Attn: Stella Garcia, Phoenix, AZ 85008-4973 | 2008-04-22 |
| 1528267994 | Rochelle R Orr | Obstetrics & Gynecology | 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 | 2007-07-16 |
| 1336270834 | Britt D Michie | Obstetrics & Gynecology | 10240 W Indian School Rd, Bld 2 Ste 140, Phoenix, AZ 85037 | 2007-03-08 |
| Find all providers in PHOENIX | ||||
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| 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.