Organization · NPI-2

Clinic For Chest Diseases PLLC

Internal Medicine · Sun City, AZ

NPI number1740232180

StatusActive

Last updated in NPPESNov 7, 2007

Details

NPI: 1740232180
Entity type: Organization (NPI-2)
Legal business name: Clinic For Chest Diseases PLLC
Organization subpart: No
Enumeration date: May 16, 2006
Last updated: Nov 7, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
207Q00000X	Family Medicine	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–

Practice location

10192 W Coggins Dr
Sun City, AZ 85351-3405

Phone 623-974-2434 · Fax 623-974-4925

Mailing address

10192 W Coggins Dr
Sun City, AZ 85351-3405

Phone 623-974-2434 · Fax 623-974-4925

Authorized official

Gautam Motilal Shah
Managing Partner
6239742434

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