Provider Demographics
NPI:1215927892
Name:SHAH, PARAGI R (DO)
Entity type:Individual
Prefix:MRS
First Name:PARAGI
Middle Name:R
Last Name:SHAH
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1760 E RIVER RD
Mailing Address - Street 2:STE. 350
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5877
Mailing Address - Country:US
Mailing Address - Phone:520-519-7775
Mailing Address - Fax:520-519-7910
Practice Address - Street 1:19646 N 27TH AVE
Practice Address - Street 2:STE 403
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4017
Practice Address - Country:US
Practice Address - Phone:623-587-4868
Practice Address - Fax:623-582-5300
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2016-12-27
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Provider Licenses
StateLicense IDTaxonomies
AZ3279207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ399875Medicaid
AZZ186698Medicare PIN
G85282Medicare UPIN