| Dr Shwetal Lalan, MD | |
| 
					1920 E Cambridge Ave Ste 200, Phoenix, AZ 85006-1462  | |
| (602) 933-0965 | |
| (602) 933-4610 | 
| Full Name | Dr Shwetal Lalan | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Nephrology | 
| Location | 1920 E Cambridge Ave Ste 200, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912210907 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0210X | Pediatrics - Pediatric Nephrology | 2010010425 (Missouri) | Secondary | 
| 2080P0210X | Pediatrics - Pediatric Nephrology | 54175 (Arizona) | Primary | 
| Entity Name | Phoenix Children's Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704  | 
| Entity Name | Banner Physician Super Specialists Arizona Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Shwetal Lalan, MD 3200 E Camelback Rd Ste 250, Phoenix, AZ 85018-2327 Ph: (602) 933-1814  | Dr Shwetal Lalan, MD 1920 E Cambridge Ave Ste 200, Phoenix, AZ 85006-1462 Ph: (602) 933-0965  | 
Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198  | |
Laura Gardner Hamant,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521  | |
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263  | |
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006  | |
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Alexandra Palacios,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945  |