Healthcare Provider Details

I. General information

NPI: 1487561072
Provider Name (Legal Business Name): HOUSE CALL PROVIDERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W BUCKEYE RD STE 307
PHOENIX AZ
85003-2650
US

IV. Provider business mailing address

515 W BUCKEYE RD STE 307
PHOENIX AZ
85003-2650
US

V. Phone/Fax

Practice location:
  • Phone: 844-679-7980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JINIT SHAH
Title or Position: CEO
Credential: FNP
Phone: 734-772-4722