SHAM M VENGURLEKAR, MD, PC
Medical Practice at Chauncey Ln, Phoenix, AZ

License number
Arizona 20227
Category
Medical Practice
Type
Specialist
Owner
Name: DR. SHAM M VENGURLEKAR MD
Title: PHYSICIAN/OWNER
Phone: (480) 314-2288
Address
Address
7010 E Chauncey Ln SUITE 215, Phoenix, AZ 85054
National Provider ID: 1649239013
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHAM M. VENGURLEKAR, M.D., PC

7010 E Chauncey Ln STE 215, Phoenix, AZ 85054

Registration:
May 4, 1998
State ID:
-0839525-2
Expiration:
PERPETUAL
Directors:
Sham M Vengurlekar (President/ceo), 7010 E Chauncey Ln STE 215, Phoenix, AZ 85054 (Physical),Sham Vengurlekar (Director), Director 7010 E Chauncey Ln STE 215, Phoenix, AZ 85054 (Physical)
Agent:
Nitin Gupta,16841 N 31 Ave STE 161, Phoenix, AZ 85053 (Physical)
Business type:
HEALTH CARE

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