Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shafa Medical Clinic PC

Organization Clinic/Center · NPI 1194906925

Shafa Medical Clinic PC is a Clinic/Center in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 E Earll Dr Ste 150
Phoenix, AZ 85012-2636
Phone: (602) 248-8258
Fax: (602) 248-8259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 07569335N (AZ)

Record details

NPI number1194906925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Modesta — Medical Director /President · (602) 248-8258
NPI enumeratedNovember 20, 2007
Last updated in NPPESNovember 20, 2007
Mailing address202 E Earll Dr Ste 150, Phoenix, AZ 85012-2636

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