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NPI Code Detail

MEDICARE: CLINIC FOR CHEST DISEASES PLLC

MEDICARE: CLINIC FOR CHEST DISEASES PLLC
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
1207RP1001XPulmonary Disease Physician
2207Q00000XFamily Medicine Physician
3207RC0000XCardiovascular Disease Physician
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1740232180
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINIC FOR CHEST DISEASES PLLC
Provider Business Mailing Address
First Line : 10192 W COGGINS DR
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3405
Country : US
Telephone Number : 623-974-2434
Fax Number : 623-974-4925
Provider Business Practice Location Address
First Line : 10192 W COGGINS DR
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3405
Country : US
Telephone Number : 623-974-2434
Fax Number : 623-974-4925
Authorized Official
Title or Position : MANAGING PARTNER
Name : GAUTAM MOTILAL SHAH
Credential : M.D.
Telephone Number : 623-974-2434
Provider Enumeration Date : 05/16/2006
Last Update Date : 11/07/2007

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1073565255 — CARL G LINDQUIST MD
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1831143676 — GAUTAM MOTLLAL SHAH M.D.
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10192 W. COGGINS DRIVE
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85351-3405
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1073944401 — CLINIC FOR CHEST DISEASES, PLLC
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SUN CITY, AZ
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Practice Fax:
1982143756 — SUN WELLNESS, PLLC
Practice Location Address:
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Practice Fax: 602-840-1290

Directions to “CLINIC FOR CHEST DISEASES PLLC ” Practice Location

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