Healthcare Provider Details

I. General information

NPI: 1922094309
Provider Name (Legal Business Name): KARLA A PUENTE-SHULTZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARLA MURRAY M.D.

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 05/03/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E OSBORN RD
SCOTTSDALE AZ
85251-6432
US

IV. Provider business mailing address

9225 N 3RD ST SUITE 300
PHOENIX AZ
85020-2439
US

V. Phone/Fax

Practice location:
  • Phone: 602-445-0751
  • Fax: 602-424-8128
Mailing address:
  • Phone: 602-445-0751
  • Fax: 602-424-8128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number30604
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number30604
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number30604
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: