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

Shantala Mask, PA

Individual provider Medical Physician Assistant · NPI 1336304427

Shantala Mask, PA is a Medical Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4136 N 75th Ave Ste 101
Phoenix, AZ 85033-3171
Phone: (623) 849-2220
Fax: (623) 849-2574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2911 (AZ)

Record details

NPI number1336304427
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 28, 2008
Last updated in NPPESFebruary 4, 2014

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