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NPI Code Detail

MEDICARE: KARLA A PUENTE-SHULTZ MD

MEDICARE: KARLA A PUENTE-SHULTZ MD
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician30604AZ
2208M00000XHospitalist Physician30604AZ
3207R00000XInternal Medicine Physician30604AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922094309
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA A PUENTE-SHULTZ MD
Provider Business Mailing Address
First Line : 9225 N 3RD ST
Second Line : SUITE 300
City : PHOENIX
State : AZ
Zip : 85020-2439
Country : US
Telephone Number : 602-445-0751
Fax Number : 602-424-8128
Provider Business Practice Location Address
First Line : 7400 E OSBORN RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6432
Country : US
Telephone Number : 602-445-0751
Fax Number : 602-424-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 05/03/2022

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Directions to “ KARLA A PUENTE-SHULTZ MD” Practice Location

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