Basic Information
| Provider Information | |||||||||
| NPI: | 1376521625 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHAH | ||||||||
| FirstName: | ASHINI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6200 N LA CHOLLA BLVD | ||||||||
| Address2: | #206 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857413529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5204698011 | ||||||||
| FaxNumber: | 5204698021 | ||||||||
| Practice Location | |||||||||
| Address1: | 4729 E SUNRISE DR | ||||||||
| Address2: | #398 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857184534 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5204698011 | ||||||||
| FaxNumber: | 5204698021 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2006 | ||||||||
| LastUpdateDate: | 05/10/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 30381 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.