MEDICARE: ZHANNA F SHPITALNIK 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
1	2084P0800X	Psychiatry Physician	28856	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1356419410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHANNA F SHPITALNIK MD

Provider Business Mailing Address
First Line	:	560 W BROWN RD
Second Line	:	#4007
City	:	MESA
State	:	AZ
Zip	:	85201-3221
Country	:	US
Telephone Number	:	602-470-5520
Fax Number	:	480-649-0783

Provider Business Practice Location Address
First Line	:	560 W BROWN RD
Second Line	:	#4007
City	:	MESA
State	:	AZ
Zip	:	85201-3221
Country	:	US
Telephone Number	:	602-470-5520
Fax Number	:	480-649-0783

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

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	09/19/2011

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