GAUTAM MOTLLAL SHAH


Address: 10192 W. Coggins Drive, Sun City, AZ 85351-3405
Phone: 6239742434

GAUTAM MOTLLAL SHAH (NPI# 1831143676) 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) 1831143676
Entity Type Individual
Full Name GAUTAM MOTLLAL SHAH
Credential M.D.
Practice Address 10192 W. Coggins Drive
Sun City
AZ 85351-3405
Practice Telephone 6239742434
Practice Fax Number 6239744925
Mailing Telephone 6239742434
Mailing Fax Number 6239744925
Enumeration Date 2006-05-19
Last Update Date 2011-03-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 10116 AZ Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
10116 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 208745 05

Other Providers GAUTAM SHAH

NPI Name Taxonomy Address Enumeration
1265865034 Gautam Vinod Shah Internal Medicine 20455 Lorain Rd Fl 2, Fairview Park, OH 44126 2013-08-15
1063859502 Gautam J Shah Internal Medicine 354 Santa Fe Dr, Encinitas, CA 92024-5142 2013-05-23
1942296157 Gautam K Shah Anesthesiology 5454 Hohman Ave, Hammond, IN 46320-1931 2005-09-22

Office Location

Street Address 10192 W. COGGINS DRIVE
City SUN CITY
State AZ
Zip Code 85351-3405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467003566 T&h Hearing LLC Hearing Aid Equipment 13616 N. 99th Ave., Sun City, AZ 85351 2019-09-20
1881247682 Amanda M Neri Physician Assistant 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 2019-07-20
1649822313 Azmed Rehab LLC Family Medicine 14281 North Del Webb Blvd, Sun City, AZ 85351 2019-07-12
1982182267 Akdhc, LLC Internal Medicine 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 2018-07-30
1871084814 Amy Mikulec Physical Therapist Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 2018-05-25
1194238345 Lorie Jo Matthews Nurse Practitioner 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 2017-11-09
1184153363 Susan Jane Hockman Registered Nurse 14601 N Delwebb Blvd, Sun City, AZ 85351 2017-06-09
1043769169 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 2016-09-30
1033563002 Vittoria Giovannucci Technician/Technologist 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 2016-04-15
1669858379 Qui Nguyen Pharmacist 10660 Nw Grand Ave, Sun City, AZ 85351 2015-08-04
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982143756 Sun Wellness, Pllc Internal Medicine 10192 W Coggins Dr, Sun City, AZ 85351-3405 2017-02-14
1740232180 Clinic for Chest Diseases Pllc Internal Medicine 10192 W Coggins Dr, Sun City, AZ 85351-3405 2006-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194335802 Integrated Medical Wellness Center, LLC Internal Medicine 10184 W Happy Valley Pkwy Ste 180, Peoria, AZ 85383-1254 2020-08-06
1518502558 Arcadia Lung and Wellness Center LLC Internal Medicine 4402 E Marion Way, Phoenix, AZ 85018-1251 2019-11-13
1316505977 Scottsdale Pulmonary and Critical Care, LLC Internal Medicine 7301 E. 2nd St., Suite 315, Scottsdale, AZ 85251 2019-05-30
1689136160 Honorhealth Medical Group, LLC Internal Medicine 9250 N 3rd St Ste 2030, Phoenix, AZ 85020-2407 2019-04-03
1649780420 Ronald J Creasman Internal Medicine 3969 S Juniper Village Ct, Gold Canyon, AZ 85118-1700 2017-10-05
1538687546 Lungs & Sleep Consultants Pllc Internal Medicine 290 S Alma School Rd Ste 11, Chandler, AZ 85224-7633 2017-08-30
1518371582 Edgar Bekteshi Md Pllc Internal Medicine 290 S Alma School Rd., Suite 11, Chandler, AZ 85224-7631 2014-06-17
1902218480 Sreeja Biswas Roy Internal Medicine 350 W Thomas Road, Phoenix, AZ 85013 2014-06-02
1760894885 Dorsett David Smith Internal Medicine 5921 E Ocupado Dr, Cave Creek, AZ 85331-1549 2014-05-22
1003040148 Arizona Respiratory Medicine PC Internal Medicine 290 S. Alma School Rd., Suite 11, Chandler, AZ 85224-7631 2009-05-04
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Competitor

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City SUN CITY
Zip Code 85351

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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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