Provider Demographics
NPI:1073648549
Name:KALE, SHEETAL ASHISH (MD)
Entity Type:Individual
Prefix:
First Name:SHEETAL
Middle Name:ASHISH
Last Name:KALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHEETAL
Other - Middle Name:J
Other - Last Name:GOSAVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1760 E PECOS RD STE 235
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-3207
Mailing Address - Country:US
Mailing Address - Phone:480-813-0944
Mailing Address - Fax:480-813-0038
Practice Address - Street 1:1760 E PECOS RD STE 235
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-3207
Practice Address - Country:US
Practice Address - Phone:808-130-9444
Practice Address - Fax:480-813-0038
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ37021207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ304078Medicaid
AZ304078Medicaid
AZ135423Medicare PIN