DR. HETAL C SHAH M.D. NPI 1750363255

NPI Information

  • NPI: 1750363255
  • Provider Name: DR. HETAL C SHAH, M.D.
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 03D1054927
  • Address: 4700 N 51ST AVE STE 5
    PHOENIX, AZ
    ZIP 85031
  • Phone: (623) 846-7597

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NPI Details

DR. Hetal C Shah, M.D. is an obstetrics obstetrics gynecology in Phoenix, AZ with 32 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Hetal C Shah, M.D. NPI is 1750363255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

4700 N 51ST AVE STE 5
PHOENIX, AZ
ZIP 85031-237
Phone: (623) 846-7597
Fax: (623) 846-1826

The NPI 1750363255 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 03D1054927 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine25006ARIZONANo
2207VX0000XObstetrics & GynecologyObstetrics25006ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1382523MEDICAIDARIZONA
2860883549MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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