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

Mrs. Mital Shah, MMS, PA-C

Individual provider Physician Assistant · NPI 1720268618

Mrs. Mital Shah, MMS, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2002, 24 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Oregon.

Years since qualifying
24
Licensed in
AZ, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

755 E McDowell Rd Fl 4
Phoenix, AZ 85006-2506
Phone: (602) 521-3090
Fax: (602) 521-3661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2740 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA189433 (OR)

Record details

NPI number1720268618
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2007
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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