MEDICARE: SHIVANI GUPTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D011835	AZ

General Provider Information

NPI Number	:	1023881828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIVANI GUPTA

Provider Business Mailing Address
First Line	:	4483 S WILDFLOWER PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-4860
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4855 E WARNER RD UNIT B9
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-3308
Country	:	US
Telephone Number	:	480-424-4890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	11/02/2023

Similar Medicare Providers

1922063148 — DR. QUENTON NICHOLAS MORLEY B.SC., D.C.
Practice Location Address:

4855 E WARNER RD , # 23
PHOENIX, AZ
85044-3308

Practice Phone: 480-893-3437
Practice Fax: 480-893-3437

1811009806 — RALEY'S ARIZONA LLC
Practice Location Address:

4855 E WARNER RD
PHOENIX, AZ
85044-3308

Practice Phone: 480-940-6396
Practice Fax: 480-785-8080

1518087246 — RAHUL G KODE DDS
Practice Location Address:

4855 E WARNER RD , STE B-9
PHOENIX, AZ
85044-3308

Practice Phone: 480-753-9063
Practice Fax: 580-753-5296

1912104621 — RAHUL G. KODE DDS
Practice Location Address:

4855 E WARNER RD , SUITE B-9
PHOENIX, AZ
85044-3308

Practice Phone: 480-753-9063
Practice Fax: 480-753-5296

1144826512 — DR. BRANDON DAVID RODGERS PHARM D.
Practice Location Address:

4855 E WARNER RD
PHOENIX, AZ
85044-3308

Practice Phone: 480-940-6396
Practice Fax:

1972477941 — DR. ARJUN SINGH SALL D.D.S
Practice Location Address:

4855 E WARNER RD STE B9
PHOENIX, AZ
85044-3308

Practice Phone: 480-753-9063
Practice Fax: 480-753-5269

Directions to “ SHIVANI GUPTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.