Individual ProviderAshish ShahInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address10401 W Thunderbird Blvd, M434, Sun City, AZ 85351-3004(623) 876-5622(623) 544-5075PECOS EnrollmentBased on the most recent information from CMS, provider Ashish Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1851372585Provider TypeIndividualFull NameShah, AshishTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date11/9/2005Last Updated8/20/2010Contact InformationPractice LocationPractice Address10401 W Thunderbird Blvd, M434, Sun City, AZ 85351-3004Phone(623) 876-5622Fax(623) 815-2931Mailing LocationMailing AddressPO Box 53568, Phoenix, AZ 85072-3568Phone(623) 544-5075Fax(623) 544-5093Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense25506ArizonaProvider IdentifiersIDDescriptionIssuerID403197DescriptionMedicaidIssuerUnlistedArizona