| Dhruv Shah, | |
|
9494 W Northern Ave Ste 114&115, Glendale, AZ 85305-1118 | |
| (623) 745-3112 | |
| Not Available |
| Full Name | Dhruv Shah |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 9494 W Northern Ave Ste 114&115, Glendale, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437913894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Indiana) | Secondary |
| 225100000X | Physical Therapist | CP036681T (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ati Holdings Of Arizona Llc | 2466732862 | 223 |
| Provider Name | Ati Holdings of Arizona LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Dhruv Shah, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: Not Available | Dhruv Shah, 9494 W Northern Ave Ste 114&115, Glendale, AZ 85305-1118 Ph: (623) 745-3112 |
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