Doctor profile · Federal record
Dr. Shantala Mask, P.A.
Medical Physician Assistant · Phoenix, AZ
- NPI 1336304427
- 18 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4136 N 75Th Ave, Ste. 101
Phoenix, AZ 850333171
(623) 849-2220
fax (623) 849-2574
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- February 4, 2014
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Arizona #2911
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336304427. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$37
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cranial Technologies, INC | 1 | $18.73 | |
| Sanofi Pasteur INC. | 1 | $18.49 |
By nature of payment
Frequently asked questions
What is Dr. Shantala Mask's medical specialty?
Dr. Shantala Mask practices Medical Physician Assistant in Phoenix, AZ.
Where does Dr. Shantala Mask practice?
Dr. Shantala Mask practices at 4136 N 75Th Ave, Phoenix, AZ 850333171. Office phone: 6238492220.
What is Dr. Shantala Mask's NPI?
Dr. Shantala Mask's National Provider Identifier (NPI) is 1336304427, issued by NPPES.